| Angela Khan, APRN | |
|
3000 S Mccall Rd, Englewood, FL 34224-8616 | |
| (941) 841-4200 | |
| (941) 841-4201 |
| Full Name | Angela Khan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3000 S Mccall Rd, Englewood, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235836396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11023071 (Florida) | Primary |
| Entity Name | Millennium Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Khan, APRN 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774 | Angela Khan, APRN 3000 S Mccall Rd, Englewood, FL 34224-8616 Ph: (941) 841-4200 |
Tiffany Kristine Lamarca, FNP-BC, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2061 Englewood Rd Ste 5, Englewood, FL 34223 Phone: 941-473-8881 Fax: 941-475-0801 | |
Tina Marie Reynolds, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 S Mccall Rd, Englewood, FL 34224 Phone: 941-841-4200 Fax: 941-841-4201 | |
Monic Menard, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2061 Englewood Rd, Suite 4, Englewood, FL 34223 Phone: 941-473-8881 Fax: 941-475-0801 | |
Devon Smith, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 S Mccall Rd, Englewood, FL 34224 Phone: 941-548-1716 | |
Amanda Mariah Munden, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 S Mccall Rd, Englewood, FL 34224 Phone: 941-841-4200 | |
Mrs. Christiana Sipper Casanova, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Medical Dr, Englewood, FL 34223 Phone: 941-280-0499 Fax: 941-340-0601 | |
Melissa Jenkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Drury Ln, Englewood, FL 34224 Phone: 313-806-2619 |