Courtney Anne Ray, RN, NP | |
77 Casa St, San Luis Obispo, CA 93405-5803 | |
(661) 695-8385 | |
Not Available |
Full Name | Courtney Anne Ray |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 77 Casa St, San Luis Obispo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538932280 | NPI | - | NPPES |
95028306 | Other | CA | CALIFORNIA BRN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95028306 (California) | Primary |
163W00000X | Registered Nurse | 95041544 (California) | Secondary |
Entity Name | Rheumatology Services Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265783948 PECOS PAC ID: 2264685270 Enrollment ID: O20121226000116 |
Mailing Address | Practice Location Address |
---|---|
Courtney Anne Ray, RN, NP 341 W Magill Ave, Clovis, CA 93612-0258 Ph: (559) 213-7218 | Courtney Anne Ray, RN, NP 77 Casa St, San Luis Obispo, CA 93405-5803 Ph: (661) 695-8385 |
John Garza, NP, LCSW Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1585 Kansas Ave, San Luis Obispo, CA 93405 Phone: 800-353-5400 | |
Lauren Elvira Mirabdollah, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 77 Casa St, Suite 201-204, San Luis Obispo, CA 93405 Phone: 805-269-1500 Fax: 805-269-1585 | |
Michelle Alena Taylor, R.N., M.S.N., A.C.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1194 Pacific Street, Suite 100, San Luis Obispo, CA 93401 Phone: 805-781-9111 Fax: 805-788-0764 | |
Avery John Paulson, RN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2180 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-431-1334 | |
Michele L Day-brooks, RN/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 Grand Ave, San Luis Obispo, CA 93401 Phone: 805-544-2478 | |
Jennifer Poe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 Peach St Ste B, San Luis Obispo, CA 93401 Phone: 805-543-4043 Fax: 805-543-7640 | |
Patricia M. Odum, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1555 Higuera St, San Luis Obispo, CA 93401 Phone: 805-543-4043 Fax: 805-543-4427 |