Ms Nancy Louise Ethridge, MS is a
Speech-language Pathologist based in Chino Valley, Arizona. Ms Nancy Louise Ethridge is licensed to practice in Arizona (license number SLP3047) and her current practice location is
650 E. Center St, Chino Valley, Arizona. She can be reached at her office (for appointments etc.) via phone at
(928) 636-2458.
NPI number for Ms Nancy Louise Ethridge is 1962690289 and her current mailing address is Po Box 225, Chino Valley, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962690289.
Healthcare Provider's Profile
Full Name | Ms Nancy Louise Ethridge |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 650 E. Center St, Chino Valley, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962690289
- Provider Enumeration Date: 10/11/2007
- Last Update Date: 10/11/2007
Medical Identifiers
Medical identifiers for Ms Nancy Louise Ethridge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962690289 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SLP3047 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Nancy Louise Ethridge is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Nancy Louise Ethridge, MS Po Box 225, Chino Valley, AZ 86323-0225 Ph: (928) 636-2458 | Ms Nancy Louise Ethridge, MS 650 E. Center St, Chino Valley, AZ 86323 Ph: (928) 636-2458 |
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