Lisa Victoria Pualuan, | |
1516 Virginia Ranch Rd, Gardnerville, NV 89410-5794 | |
(775) 783-4823 | |
(775) 783-4806 |
Full Name | Lisa Victoria Pualuan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1516 Virginia Ranch Rd, Gardnerville, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245942937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 861023 (Nevada) | Primary |
Entity Name | Mobileonedocs, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629424379 PECOS PAC ID: 3274825849 Enrollment ID: O20180207001987 |
Mailing Address | Practice Location Address |
---|---|
Lisa Victoria Pualuan, 1516 Virginia Ranch Rd, Gardnerville, NV 89410-5794 Ph: (775) 783-4823 | Lisa Victoria Pualuan, 1516 Virginia Ranch Rd, Gardnerville, NV 89410-5794 Ph: (775) 783-4823 |
Erin Foster-vrenon, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1329 Waterloo Ln, Gardnerville, NV 89410 Phone: 775-782-9038 Fax: 775-782-9043 | |
Mrs. Chinelo Pearl Nwaogbo, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1559 Watasheamu Rd, Gardnerville, NV 89460 Phone: 775-265-8622 Fax: 775-265-6071 | |
Lyndsey Kramm, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1559 Watasheamu Rd, Gardnerville, NV 89460 Phone: 775-265-8622 | |
Catherine Fuller, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1559 Watasheamu Road, Gardnerville, NV 89460 Phone: 775-265-1214 | |
Ms. Susan Lynn Cocores, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1559 Watasheamu Rd, Gardnerville, NV 89460 Phone: 775-265-8622 Fax: 775-265-3429 | |
Ms. Jennifer Eve Galimba, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1107 Us Highway 395 N, Gardnerville, NV 89410 Phone: 775-782-1500 Fax: 775-782-1678 |