| Arielle Tango, FNP-C | |
| 2504 Acorn St Ste A, Fort Pierce, FL 34947-4746 | |
| (772) 837-7800 | |
| (772) 837-7801 | 
| Full Name | Arielle Tango | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 2504 Acorn St Ste A, Fort Pierce, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003584699 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11011884 (Florida) | Primary | 
| Entity Name | Grace Wellness Center Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1497371108 PECOS PAC ID: 0840600458 Enrollment ID: O20201111001028 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Arielle Tango, FNP-C 2504 Acorn St Ste A, Fort Pierce, FL 34947-4746 Ph: (772) 837-7800 | Arielle Tango, FNP-C 2504 Acorn St Ste A, Fort Pierce, FL 34947-4746 Ph: (772) 837-7800 | 
| Ms. Kelli Kraaz, ARNP- FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3307 N Indian River Dr, Fort Pierce, FL 34946 Phone: 772-528-5991 | |
| Mrs. Denise Angele Joseph, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 Frist Blvd, Suite 3, Fort Pierce, FL 34950 Phone: 772-429-3400 Fax: 772-429-3410 | |
| Ms. Nancy Lee Harris, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5600 N Us Highway 1 # Le214, Fort Pierce, FL 34946 Phone: 772-242-2420 | |
| Tammy Mae Holmes, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1423 S Us Highway 1, Fort Pierce, FL 34950 Phone: 772-466-6855 Fax: 772-464-6983 | |
| Natalie Gordon, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2401 Frist Blvd Ste 1, Fort Pierce, FL 34950 Phone: 772-464-0033 | |
| Christine Palmer Monday, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 S 23rd St, Fort Pierce, FL 34950 Phone: 772-461-4000 |