Deidra Diane Henley, FNP-C | |
410 University Pkwy Ste 1550, Aiken, SC 29801-6838 | |
(803) 649-7535 | |
(803) 648-8771 |
Full Name | Deidra Diane Henley |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 410 University Pkwy Ste 1550, Aiken, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649745530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN205120 (Georgia) | Primary |
Entity Name | Rural Urgent Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932586476 PECOS PAC ID: 8820305600 Enrollment ID: O20201029003001 |
Mailing Address | Practice Location Address |
---|---|
Deidra Diane Henley, FNP-C 2946 Aylesbury Dr, Augusta, GA 30909-0628 Ph: (803) 640-8094 | Deidra Diane Henley, FNP-C 410 University Pkwy Ste 1550, Aiken, SC 29801-6838 Ph: (803) 649-7535 |
Lindsay K Pizzuto, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 415 Barnwell Ave Nw, Aiken, SC 29801 Phone: 803-644-4403 Fax: 803-644-4405 | |
Catherine Rutherfurd Rudnick, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 222 Beaufort St Ne, Aiken, SC 29801 Phone: 803-502-4685 | |
Sarah Brennan Heilig, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1029 York St Ne, Aiken, SC 29801 Phone: 803-648-4119 | |
Kristin Braveboy Haddock, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Society Hill Dr Ste 100, Aiken, SC 29803 Phone: 803-648-7774 Fax: 803-648-7490 | |
Amaya Edge, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2062 Whiskey Rd, Aiken, SC 29803 Phone: 980-205-5134 | |
Mrs. Ashley Protzman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 Aiken Mall Dr, Aiken, SC 29803 Phone: 803-648-1464 | |
Shailah Bevan, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 820 Legare Rd, Aiken, SC 29803 Phone: 803-262-8814 |