| Amanda F Nolte, ARNP | |
|
595 N Courtenay Pkwy Ste 101, Merritt Island, FL 32953-4852 | |
| (321) 784-8211 | |
| (321) 394-9425 |
| Full Name | Amanda F Nolte |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 595 N Courtenay Pkwy Ste 101, Merritt Island, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548645856 | NPI | - | NPPES |
| C-APN.0100364-C-NP | Other | CO | STATE LICENSE NUMBER |
| ARNP 9372093 | Other | FL | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | C-APN.0100364-C-NP (Colorado) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | ARNP9372093 (Florida) | Secondary |
| Entity Name | Brevard Internal Medicine & Walk-in Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710216262 PECOS PAC ID: 9133254980 Enrollment ID: O20100318000081 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda F Nolte, ARNP 800 Zorn Ave, Louisville, KY 40206-1433 Ph: (502) 287-4000 | Amanda F Nolte, ARNP 595 N Courtenay Pkwy Ste 101, Merritt Island, FL 32953-4852 Ph: (321) 784-8211 |
Mr. Leander Jostin Beams Sr., Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 45 Mcleod St, Merritt Island, FL 32953 Phone: 321-452-2016 | |
Mrs. Cori Megan Daniels, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2409 Willowbrook Rd, Merritt Island, FL 32952 Phone: 321-863-8215 | |
Stephanie Ann Fisher, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 390 N Courtenay Pkwy, Merritt Island, FL 32953 Phone: 321-633-3162 | |
Nichole E Venzara, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 255 Stewart Dr, Merritt Island, FL 32952 Phone: 321-302-6574 | |
Michelle M Dymond, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 260 N Tropical Trl Ste 105, Merritt Island, FL 32953 Phone: 321-720-5288 | |
Ms. Mary Ann Davidson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 390 N Courtenay Pkwy, Merritt Island, FL 32953 Phone: 321-633-3162 Fax: 321-684-7872 | |
Mrs. Kimberly Deniese Mcdaniel, AUTONOMOUS APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 775 E Merritt Island Cswy Ste 115, Merritt Island, FL 32952 Phone: 321-349-0642 Fax: 321-349-0643 |