Susan Carol Mcmullen, NP02/07/1966 | |
10956 Donner Pass Rd, #230, Truckee, CA 96161-4861 | |
(530) 582-3277 | |
(530) 550-0544 |
Full Name | Susan Carol Mcmullen |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 10956 Donner Pass Rd, Truckee, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407895667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 11292 (California) | Primary |
Entity Name | Tahoe Forest Hospital District |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1801957667 PECOS PAC ID: 0446161335 Enrollment ID: O20040821000218 |
Mailing Address | Practice Location Address |
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Susan Carol Mcmullen, NP02/07/1966 10956 Donner Pass Rd, #230, Truckee, CA 96161-4861 Ph: (530) 582-3277 | Susan Carol Mcmullen, NP02/07/1966 10956 Donner Pass Rd, #230, Truckee, CA 96161-4861 Ph: (530) 582-3277 |
Marianna Grace Bettina Pucillo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10121 Pine Ave, Truckee, CA 96161 Phone: 530-550-7206 | |
Gabriela Giselle Villalba, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633 | |
Vanessa Ivette Gutierrez, RN, PNP, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633 | |
Mrs. Mackenzie Smith Dains, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10121 Pine Ave, Truckee, CA 96161 Phone: 530-582-6452 | |
Miss Beverly Mustain, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10956 Donner Pass Rd, St 260, Truckee, CA 96161 Phone: 530-582-6400 Fax: 530-582-6991 | |
Paige Parker Kirscht, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633 | |
Mrs. Merit Wallace, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633 |