Danielle Marie Kc, FNP | |
38883 Hwy 299, Willow Creek, CA 95573-0726 | |
(530) 629-3111 | |
(530) 629-3122 |
Full Name | Danielle Marie Kc |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 38883 Hwy 299, Willow Creek, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164053989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 95036067 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95021425 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Danielle Marie Kc, FNP 1275 8th St, Arcata, CA 95521-5770 Ph: (707) 826-8636 | Danielle Marie Kc, FNP 38883 Hwy 299, Willow Creek, CA 95573-0726 Ph: (530) 629-3111 |
Ms. Loretta Rae Mccurtain, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Highway 96, Willow Creek, CA 95573 Phone: 530-629-3116 Fax: 530-629-2866 | |
Linda Ann Gardner, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 38883 Ca Hwy 299, Willow Creek, CA 95573 Phone: 530-629-3111 Fax: 530-629-3122 | |
Ms. Lanesha Bracy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 38883 Hwy 299, Willow Creek, CA 95573 Phone: 530-629-3111 Fax: 530-629-3122 | |
Amanda Baer James, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 38883 Highway 299, Willow Creek, CA 95573 Phone: 530-529-3111 Fax: 530-529-3122 |