Valerie Diane Johnson, NURSE PRACTITIONER | |
3295 Route 100 # Pa, Macungie, PA 18062-9611 | |
(610) 967-5684 | |
Not Available |
Full Name | Valerie Diane Johnson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3295 Route 100 # Pa, Macungie, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366151029 | NPI | - | NPPES |
411952112 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | SP026104 (Pennsylvania) | Secondary |
363LF0000X | Nurse Practitioner - Family | SP026104 (Pennsylvania) | Primary |
Entity Name | Minuteclinic Diagnostic Of Pennsylvania Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881738037 PECOS PAC ID: 5395827307 Enrollment ID: O20080130000250 |
Mailing Address | Practice Location Address |
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Valerie Diane Johnson, NURSE PRACTITIONER 3295 Route 100 # Pa, Macungie, PA 18062-9611 Ph: () - | Valerie Diane Johnson, NURSE PRACTITIONER 3295 Route 100 # Pa, Macungie, PA 18062-9611 Ph: (610) 967-5684 |
Jicenda B Contreras, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6451 Village Ln, Macungie, PA 18062 Phone: 610-967-2772 Fax: 610-674-2528 | |
Tamatha J Urffer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3760 Brookside Rd, Macungie, PA 18062 Phone: 610-628-7111 Fax: 833-820-1003 | |
Tara Collins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3760 Brookside Rd, Macungie, PA 18062 Phone: 610-966-4646 Fax: 610-965-6201 | |
Lori Rice, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 155 W Main St, Macungie, PA 18062 Phone: 610-967-5684 | |
Jennifer Bloch, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6451 Village Ln, Macungie, PA 18062 Phone: 610-967-2772 Fax: 610-967-2599 | |
Mrs. Nadine Mason, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2644 Fieldview Dr, Macungie, PA 18062 Phone: 610-965-0474 |