Tiffany Merrill Ketzle, APRN ANP-C | |
6513 Preston Rd, Suite 300, Plano, TX 75024-2688 | |
(972) 608-2025 | |
(972) 608-2032 |
Full Name | Tiffany Merrill Ketzle |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 6513 Preston Rd, Plano, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982719837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 681853 (Texas) | Secondary |
363L00000X | Nurse Practitioner | AP111326 (Texas) | Primary |
Entity Name | Neurosurgical Associates Of North Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053744540 PECOS PAC ID: 8921234832 Enrollment ID: O20131125001321 |
Mailing Address | Practice Location Address |
---|---|
Tiffany Merrill Ketzle, APRN ANP-C 3901 W 15th St, Plano, TX 75075-7738 Ph: (972) 867-0129 | Tiffany Merrill Ketzle, APRN ANP-C 6513 Preston Rd, Suite 300, Plano, TX 75024-2688 Ph: (972) 608-2025 |
Wendy Renee Foster, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1820 Preston Park Blvd, Suite 1450, Plano, TX 75093 Phone: 469-800-4540 Fax: 469-800-4541 | |
Mrs. Cristina James, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3021 Harkness Dr, Plano, TX 75093 Phone: 214-674-0626 | |
Melissa Coltman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4708 Alliance Blvd Ste 500, Plano, TX 75093 Phone: 972-941-3100 Fax: 844-292-1461 | |
Mrs. Caroline Kesterson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4708 Alliance Blvd Ste 550, Plano, TX 75093 Phone: 469-800-6140 | |
Mrs. Margie Carol Crews, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4001 W 15th St, Suite 180, Plano, TX 75093 Phone: 972-867-5300 Fax: 972-867-5301 | |
Saeed Niyati, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Coit Rd, Suite 206, Plano, TX 75075 Phone: 972-612-4999 | |
Ms. Tonya Williams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5944 W Parker Rd, Plano, TX 75093 Phone: 214-522-4640 |