Mrs Shannon Marie Roberts, FNP | |
17301 E Spring Valley Rd Ste G, Spring Valley, AZ 86333-4263 | |
(928) 404-8004 | |
Not Available |
Full Name | Mrs Shannon Marie Roberts |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 17301 E Spring Valley Rd Ste G, Spring Valley, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1720854144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 300448 (Arizona) | Primary |
Entity Name | Black Canyon Community Health Center Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679723217 PECOS PAC ID: 6406900331 Enrollment ID: O20090812000350 |
Mailing Address | Practice Location Address |
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Mrs Shannon Marie Roberts, FNP 3350 N Valley View Dr, Prescott Valley, AZ 86314-2437 Ph: (928) 848-5651 | Mrs Shannon Marie Roberts, FNP 17301 E Spring Valley Rd Ste G, Spring Valley, AZ 86333-4263 Ph: (928) 404-8004 |
Mr. Douglas Kendall Conley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17301 E Spring Valley Rd Ste F, Spring Valley, AZ 86333 Phone: 928-632-4909 | |
Kimberly Ann Whitehill, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17301 E Spring Valley Rd Ste F, Spring Valley, AZ 86333 Phone: 928-632-4909 Fax: 928-632-4973 | |
Mrs. Emily Catherine Norman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17301 E Spring Valley Rd Ste F, Spring Valley, AZ 86333 Phone: 928-632-4909 Fax: 928-632-4973 |