Bridget Kelleher, NP | |
604 Rose Ave, Venice, CA 90291-2767 | |
(310) 392-8636 | |
Not Available |
Full Name | Bridget Kelleher |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 604 Rose Ave, Venice, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245695006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95003447 (California) | Primary |
Entity Name | Venice Family Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669418513 PECOS PAC ID: 2264339126 Enrollment ID: O20031217001082 |
Mailing Address | Practice Location Address |
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Bridget Kelleher, NP 604 Rose Ave, Venice, CA 90291-2767 Ph: (310) 392-8636 | Bridget Kelleher, NP 604 Rose Ave, Venice, CA 90291-2767 Ph: (310) 392-8636 |
Alain Broulard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1122 Garfield Ave, Venice, CA 90291 Phone: 818-384-0927 | |
Elisabeth Helen Cederblom, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-392-8636 | |
Danielle Sinkford, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-392-8636 | |
Nancy Marie Pierre-paul, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-392-8636 | |
Janet Chaidez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-392-8636 | |
Mrs. Ligaya Docena Scarlett, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-392-8636 Fax: 310-664-7913 |