Amaza Tripp, MSN, APRN, CNP | |
550 Pope Ave, Fort Leavenworth, KS 66027-2332 | |
(913) 684-6663 | |
(913) 684-6612 |
Full Name | Amaza Tripp |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 550 Pope Ave, Fort Leavenworth, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013570035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 111903 (Oklahoma) | Primary |
Entity Name | The Physicians Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487620381 PECOS PAC ID: 8325950603 Enrollment ID: O20031104000641 |
Mailing Address | Practice Location Address |
---|---|
Amaza Tripp, MSN, APRN, CNP 550 Pope Ave, Fort Leavenworth, KS 66027-2332 Ph: (913) 684-6663 | Amaza Tripp, MSN, APRN, CNP 550 Pope Ave, Fort Leavenworth, KS 66027-2332 Ph: (913) 684-6663 |
Miss Ligia J Taylor, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 Harry Bell Rd, Fort Leavenworth, KS 66027 Phone: 417-655-0627 | |
Alexandra Nicole Dibasilio, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 Pope Ave Apt 8, Fort Leavenworth, KS 66027 Phone: 410-960-5206 | |
Mr. Jerry Lee Green Jr., FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Ms. Cotton), Fort Leavenworth, KS 66027 Phone: 913-684-6562 Fax: 913-684-6208 | |
Ms. Sashi A Zickefoose, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6601 | |
Ernest Francia Degenhardt, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Munson Army Health Center (attn) Mcxn-cod. Ms Cotton, Fort Leavenworth, KS 66027 Phone: 913-684-6562 Fax: 913-684-6208 | |
James Lawrence Sall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6671 |