| Amanda Chagolla, PMHNP | |
|
21415 Goddard Rd, Taylor, MI 48180-4247 | |
| (734) 375-6900 | |
| (734) 398-3737 |
| Full Name | Amanda Chagolla |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 21415 Goddard Rd, Taylor, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184237885 | NPI | - | NPPES |
| Entity Name | Harbor |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366526782 PECOS PAC ID: 8325931181 Enrollment ID: O20040205000276 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Chagolla, PMHNP 21415 Goddard Rd, Taylor, MI 48180-4247 Ph: (734) 375-6900 | Amanda Chagolla, PMHNP 21415 Goddard Rd, Taylor, MI 48180-4247 Ph: (734) 375-6900 |
Ms. Wendy Katherine Lemere, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24555 Haig St, Taylor, MI 48180 Phone: 313-375-2170 Fax: 313-375-2166 | |
Leah Kristine Amorose, DNP, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12701 Telegraph Rd Ste 103, Taylor, MI 48180 Phone: 734-374-0500 Fax: 734-374-2415 | |
Christinie Peterson, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24887 Goddard Rd, Taylor, MI 48180 Phone: 734-946-5410 | |
Ashley Nicole Schalk, APRN, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9870 Telegraph Rd, Taylor, MI 48180 Phone: 313-291-6600 | |
Theresa Stone Salvatore, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26650 Eureka Rd, Ste C, Taylor, MI 48180 Phone: 734-941-4991 | |
Chelsey Lynn Schroeder, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11368 Allen Rd, Taylor, MI 48180 Phone: 734-403-2222 | |
Jessica Ann Merideth, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24887 Goddard Rd, Taylor, MI 48180 Phone: 734-946-7200 |