Toni Headstream, FNP-C | |
1908 12th Ave Nw Ste E, Ardmore, OK 73401-1255 | |
(254) 485-0338 | |
Not Available |
Full Name | Toni Headstream |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1908 12th Ave Nw Ste E, Ardmore, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1033849963 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1072683 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 207523 (Oklahoma) | Primary |
Entity Name | Long Term Care Specialists, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497761159 PECOS PAC ID: 3476550740 Enrollment ID: O20061030000218 |
Entity Name | Elmbrook Clinical Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649951211 PECOS PAC ID: 3870949548 Enrollment ID: O20231101001543 |
Mailing Address | Practice Location Address |
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Toni Headstream, FNP-C 776 County Road 385, Stephenville, TX 76401-8535 Ph: (245) 485-0338 | Toni Headstream, FNP-C 1908 12th Ave Nw Ste E, Ardmore, OK 73401-1255 Ph: (254) 485-0338 |
Susan Barbara Bezner, A.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 731 12th Ave Nw, Suite #201, Ardmore, OK 73401 Phone: 580-224-9000 Fax: 580-224-9009 | |
Tausha Zann Shelton, ARNP-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1116 Walnut Dr, Ardmore, OK 73401 Phone: 580-226-0543 Fax: 580-226-2284 | |
Mrs. Tina Diane Gerwin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1570 Provence Rd, Ardmore, OK 73401 Phone: 580-220-4427 | |
Carrie Kaye Evans, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 908 N Rockford Rd Ste A, Ardmore, OK 73401 Phone: 580-223-0447 Fax: 580-223-2989 | |
Quashonda Anderson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 Monroe St Nw, Ardmore, OK 73401 Phone: 580-504-2082 Fax: 580-226-5918 | |
Angela Donnice Amparano, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2002 12th Ave Nw, Ardmore, OK 73401 Phone: 580-226-4580 |