Kristen Michele Prusa, AGACNP-BC | |
191 S Buena Vista St Ste 215, Burbank, CA 91505-4563 | |
(818) 906-4071 | |
(818) 905-7406 |
Full Name | Kristen Michele Prusa |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 191 S Buena Vista St Ste 215, Burbank, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477120582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 95017466 (California) | Secondary |
363L00000X | Nurse Practitioner | 95017466 (California) | Primary |
Entity Name | Housecall Doctors Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033164017 PECOS PAC ID: 6103802855 Enrollment ID: O20040624001654 |
Mailing Address | Practice Location Address |
---|---|
Kristen Michele Prusa, AGACNP-BC 16260 Ventura Blvd Ste Ll15, Encino, CA 91436-4931 Ph: (818) 905-1567 | Kristen Michele Prusa, AGACNP-BC 191 S Buena Vista St Ste 215, Burbank, CA 91505-4563 Ph: (818) 906-4071 |
Caitlin Provost Conlon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 191 S Buena Vista St, Burbank, CA 91505 Phone: 818-557-2671 | |
Anasheh Avanes, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1130 W Olive Ave, Burbank, CA 91506 Phone: 747-477-1411 | |
Jennifer S Lee, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 S Buena Vista St Ste 325, Burbank, CA 91505 Phone: 818-842-7145 | |
Lynn Adora Lima, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Minute Clinic 9795 Burbank, 511 N Hollywood Way, Burbank, CA 91505 Phone: 818-841-0710 | |
Jessica Cuesta, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 241 W Olive Ave, Burbank, CA 91502 Phone: 818-848-5561 | |
Jesselyn Joy Walter, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1211 W Magnolia Blvd, Burbank, CA 91506 Phone: 323-620-3463 | |
Mrs. Forreline Grigsby Wilson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 511 N Hollywood Way, Burbank, CA 91505 Phone: 866-389-2727 |