Alia Anthony, | |
1108 W State St, Suite 3, Hastings, MI 49058-9711 | |
(269) 945-0922 | |
Not Available |
Full Name | Alia Anthony |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1108 W State St, Hastings, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023557634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 4704291894 (Michigan) | Primary |
Entity Name | Thornapple Valley Family Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528268513 PECOS PAC ID: 5698823250 Enrollment ID: O20090508000356 |
Mailing Address | Practice Location Address |
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Alia Anthony, 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560 Ph: () - | Alia Anthony, 1108 W State St, Suite 3, Hastings, MI 49058-9711 Ph: (269) 945-0922 |
Kimberly Porter, CNM, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1005 W Green St Ste 301, Hastings, MI 49058 Phone: 269-945-8080 | |
Laura Katherine Bevins, MP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1009 W Green St, Hastings, MI 49058 Phone: 269-945-1212 | |
Taylor Rose Kroeze, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1108 W State St Ste 3, Hastings, MI 49058 Phone: 269-945-0922 | |
Mrs. Tiffany R Jackson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1108 W State St, Suite 3, Hastings, MI 49058 Phone: 269-945-0922 Fax: 269-945-4511 | |
Grant Keith Heide, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1009 W Green St, Hastings, MI 49058 Phone: 269-945-1212 | |
Cindy Marie Bigler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1108 W State St Ste 3, Hastings, MI 49058 Phone: 269-945-0922 |