Tanya Llanque, | |
6901 S 84th St, La Vista, NE 68128-2127 | |
(866) 389-2727 | |
Not Available |
Full Name | Tanya Llanque |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 6901 S 84th St, La Vista, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619364742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 111778 (Nebraska) | Primary |
Entity Name | Northwest Iowa Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215962550 PECOS PAC ID: 0749198026 Enrollment ID: O20040217000619 |
Entity Name | Community Care Health Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210324001310 |
Mailing Address | Practice Location Address |
---|---|
Tanya Llanque, 6901 S 84th St, La Vista, NE 68128-2127 Ph: () - | Tanya Llanque, 6901 S 84th St, La Vista, NE 68128-2127 Ph: (866) 389-2727 |
Roni L Pinkerton, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12702 Westport Pkwy, Suite 101, La Vista, NE 68138 Phone: 402-502-5525 Fax: 402-343-1330 | |
Margaret Messersmith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6901 S 84th St, La Vista, NE 68128 Phone: 402-339-1090 | |
Mrs. Jill Marie Brown, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6901 S 84th St, La Vista, NE 68128 Phone: 402-339-1090 | |
Abbie L Ketcham, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8248 S 96th St, La Vista, NE 68128 Phone: 402-717-9500 | |
Rachel Stutheit, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6901 S 84th St, La Vista, NE 68128 Phone: 402-339-1090 | |
Kathryn E Huerter, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8248 S 96th St, La Vista, NE 68128 Phone: 402-717-9540 | |
Fredericka Jackson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6901 S 84th St, La Vista, NE 68128 Phone: 402-339-1090 |