Willa Rose Shields, APN, FMHNP-BC | |
5333 Fennwood Dr, Zachary, LA 70791-2437 | |
(870) 648-6644 | |
Not Available |
Full Name | Willa Rose Shields |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 5333 Fennwood Dr, Zachary, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609005156 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 204380 (Louisiana) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | A03301 (Arkansas) | Secondary |
Entity Name | Community Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598759292 PECOS PAC ID: 9830008895 Enrollment ID: O20031205000597 |
Mailing Address | Practice Location Address |
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Willa Rose Shields, APN, FMHNP-BC 5333 Fennwood Dr, Zachary, LA 70791-2437 Ph: (870) 648-6644 | Willa Rose Shields, APN, FMHNP-BC 5333 Fennwood Dr, Zachary, LA 70791-2437 Ph: (870) 648-6644 |
Lori S Grace, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6550 Main St Ste 3500, Zachary, LA 70791 Phone: 225-658-6780 Fax: 225-658-6781 | |
Courtney B Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19900 Old Scenic Hwy Ste H, Zachary, LA 70791 Phone: 225-570-2618 | |
Jeremy Dedeaux, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2335 Church St, Suite E, Zachary, LA 70791 Phone: 225-654-3607 Fax: 225-658-2262 | |
Mrs. Celeste M Howard-bourque, PMHNP-BC, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4544 W Central Ave, Zachary, LA 70791 Phone: 337-739-9824 | |
Loryn Culver Matthews, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18989 Old Scenic Hwy, Zachary, LA 70791 Phone: 225-654-8850 | |
Sarah Wallace Eisworth, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19900 Old Scenic Hwy, Zachary, LA 70791 Phone: 225-570-2618 Fax: 225-570-8539 | |
Caroline Barkerding, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6550 Main St, Ste. 1000, Zachary, LA 70791 Phone: 225-654-1559 Fax: 225-654-6212 |