| Ardeana Y Kirkland, CRNP | |
|
120 Burrus Blvd, Brodheadsville, PA 18322-7812 | |
| (570) 426-2662 | |
| (570) 992-7777 |
| Full Name | Ardeana Y Kirkland |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 120 Burrus Blvd, Brodheadsville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790253946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP019335 (Pennsylvania) | Primary |
| Entity Name | Family Care Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669563037 PECOS PAC ID: 5395649347 Enrollment ID: O20031121000497 |
| Entity Name | Public Health Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881779866 PECOS PAC ID: 1850307406 Enrollment ID: O20060504000213 |
| Mailing Address | Practice Location Address |
|---|---|
| Ardeana Y Kirkland, CRNP 2100 Mack Blvd Fl 2, Allentown, PA 18103-5622 Ph: (484) 884-4500 | Ardeana Y Kirkland, CRNP 120 Burrus Blvd, Brodheadsville, PA 18322-7812 Ph: (570) 426-2662 |
Vanessa Lee Pasch, C.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 208 Kevin Ln, Suite 101, Brodheadsville, PA 18322 Phone: 570-992-7620 | |
Joelle M Mafouoti, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Burrus Blvd Ste 200, Brodheadsville, PA 18322 Phone: 570-420-6300 Fax: 570-402-2920 | |
Cynthia Marie Ventre, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 203 Rodenbach Lane, Brodheadsville, PA 18322 Phone: 570-992-4208 Fax: 570-992-6117 | |
Caitlin Gaffney, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 Route 715 Ste 102, Brodheadsville, PA 18322 Phone: 272-212-0420 |