| Angela Motley, APRN | |
|
17393 S Rock Creek Rd, Shawnee, OK 74801-9557 | |
| (469) 387-0861 | |
| Not Available |
| Full Name | Angela Motley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 17393 S Rock Creek Rd, Shawnee, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093486342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R0081017 (Oklahoma) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 205970 (Oklahoma) | Primary |
| Entity Name | Meridian Long Term Care Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164176442 PECOS PAC ID: 2668866260 Enrollment ID: O20220224001659 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Motley, APRN 17393 S Rock Creek Rd, Shawnee, OK 74801-9557 Ph: (469) 387-0861 | Angela Motley, APRN 17393 S Rock Creek Rd, Shawnee, OK 74801-9557 Ph: (469) 387-0861 |
Mrs. Lauren M Rubino, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 N Kickapoo Ave Ste 116, Shawnee, OK 74804 Phone: 405-551-8103 | |
Dustin Wade, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2508 N Harrison St, Shawnee, OK 74804 Phone: 405-585-2030 | |
Mrs. Sabrina R Lafrance, CNP-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30 Redbud Ln, Shawnee, OK 74801 Phone: 509-554-9250 | |
Dr. Magdalyn Boegler, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3700 N Kickapoo Ave Ste 100, Shawnee, OK 74804 Phone: 405-214-1700 | |
Mrs. Destiny Ruosa Mitchell, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 781 Grand Casino Blvd, Shawnee, OK 74804 Phone: 405-964-5770 Fax: 405-964-5788 | |
Susan George, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2029 Gordon Cooper Dr, Shawnee, OK 74801 Phone: 405-878-5850 Fax: 405-701-7631 | |
Cindy Cheatwood, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2508 N Harrison St, Shawnee, OK 74804 Phone: 405-585-2030 Fax: 405-585-2859 |