| Angela Lanae Riesen, FNP-C | |
|
617 Liberty St, Clay Center, KS 67432-1564 | |
| (785) 632-2144 | |
| Not Available |
| Full Name | Angela Lanae Riesen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 617 Liberty St, Clay Center, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487252490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 79725 (Kansas) | Primary |
| Entity Name | Clay County Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1265485817 PECOS PAC ID: 6901959436 Enrollment ID: O20090731000423 |
| Entity Name | Clay County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134163389 PECOS PAC ID: 6901959436 Enrollment ID: O20091020000184 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Lanae Riesen, FNP-C 617 Liberty St, Clay Center, KS 67432-1564 Ph: (785) 632-2144 | Angela Lanae Riesen, FNP-C 617 Liberty St, Clay Center, KS 67432-1564 Ph: (785) 632-2144 |
Alya M Houghton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 Liberty St, Clay Center, KS 67432 Phone: 785-632-2144 | |
Tricia Aubrey Cunningham, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 617 Liberty St, Clay Center, KS 67432 Phone: 785-632-2144 | |
Mary Kay Cummins, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 Liberty St, Clay Center, KS 67432 Phone: 785-632-2181 Fax: 785-632-2309 | |
Rebekah Beach, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 725 Lafayette St, Clay Center, KS 67432 Phone: 785-632-1162 | |
Austin Keith Gydesen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 Liberty St, Clay Center, KS 67432 Phone: 785-632-2181 Fax: 785-632-2309 | |
Audra Walter, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 Liberty St, Clay Center, KS 67432 Phone: 785-632-2181 Fax: 785-632-2309 |