Elizabeth J Nagle, FNP | |
46900 Ocean Dr, Gualala, CA 95445-8353 | |
(707) 884-4005 | |
(707) 884-4625 |
Full Name | Elizabeth J Nagle |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 46900 Ocean Dr, Gualala, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851379705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | ZZZ26736Z (California) | Primary |
Entity Name | Community Foundation Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811258510 PECOS PAC ID: 0345406294 Enrollment ID: O20120723000387 |
Mailing Address | Practice Location Address |
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Elizabeth J Nagle, FNP Po Box 1100, Gualala, CA 95445-1100 Ph: (707) 884-4005 | Elizabeth J Nagle, FNP 46900 Ocean Dr, Gualala, CA 95445-8353 Ph: (707) 884-4005 |
Holly Ramona Hamm, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46900 Ocean View Dr, Gualala, CA 95445 Phone: 707-884-4005 | |
Lois Falk, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46900 Ocean Dr, Gualala, CA 95445 Phone: 707-884-4005 Fax: 707-884-9728 | |
Caithleen Paterson Zikorus, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46900 Ocean Dr, Gualala, CA 95445 Phone: 707-884-4005 Fax: 707-884-4625 |