Susan R Gladden, RNFA | |
516 Denver St, Wichita Falls, TX 76301-2110 | |
(940) 720-3500 | |
(940) 397-3150 |
Full Name | Susan R Gladden |
---|---|
Gender | Female |
Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
Location | 516 Denver St, Wichita Falls, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437265071 | NPI | - | NPPES |
7700478 | Other | TX | AETNA |
8496608 | Other | TX | CIGNA |
89N923 | Other | TX | BCBS OF TEXAS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WM0705X | Registered Nurse - Medical-surgical | 640526 (Texas) | Secondary |
364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | AP132268 (Texas) | Primary |
Entity Name | Helen Farabee Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457479511 PECOS PAC ID: 8729042916 Enrollment ID: O20041117000552 |
Mailing Address | Practice Location Address |
---|---|
Susan R Gladden, RNFA 1325 Pennsylvania Ave, Suite 890, Fort Worth, TX 76104-2158 Ph: (817) 878-5333 | Susan R Gladden, RNFA 516 Denver St, Wichita Falls, TX 76301-2110 Ph: (940) 720-3500 |
Mrs. Kellis Diane Warren, ACNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1600 11th St, Wichita Falls, TX 76301 Phone: 940-764-8285 Fax: 940-764-4249 | |
Denise Delynn Blair, RN CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1600 11th St, Wichita Falls, TX 76301 Phone: 940-764-3447 | |
Kimberly M George, APN-CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1600 11th St, Wichita Falls, TX 76301 Phone: 940-764-8325 Fax: 940-764-8322 | |
Michelle Noel Watson, CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 4909 Johnson Rd, Wichita Falls, TX 76310 Phone: 940-691-0985 Fax: 940-687-4616 |