| Annalou Stasilli, | |
|
832 Isabel St, Ardmore, OK 73401-5118 | |
| (405) 986-9245 | |
| Not Available |
| Full Name | Annalou Stasilli |
|---|---|
| Gender | Female |
| Speciality | Clinical Nurse Specialist - Long-term Care |
| Location | 832 Isabel St, Ardmore, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871351221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0400X | Registered Nurse - Case Management | 99396 (Oklahoma) | Secondary |
| 364SL0600X | Clinical Nurse Specialist - Long-term Care | 218602 (Oklahoma) | Primary |
| Entity Name | Truhealth Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063843951 PECOS PAC ID: 2163653478 Enrollment ID: O20180130001170 |
| Mailing Address | Practice Location Address |
|---|---|
| Annalou Stasilli, 15520 Allegheny Dr, Edmond, OK 73013-8826 Ph: (405) 520-5749 | Annalou Stasilli, 832 Isabel St, Ardmore, OK 73401-5118 Ph: (405) 986-9245 |
Tamara Rae Brunk, APRN-CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1115 Walnut Dr, Ardmore, OK 73401 Phone: 580-223-7472 Fax: 580-223-6673 | |
Jamie Spence, APRN - CNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 731 12th Ave Nw Ste 302, Ardmore, OK 73401 Phone: 580-220-6200 Fax: 580-220-6258 |