| Corrine Lee Douglas, NP | |
|
1510 Capitola Rd, Santa Cruz, CA 95062-2912 | |
| (831) 427-3500 | |
| Not Available |
| Full Name | Corrine Lee Douglas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics, Critical Care |
| Location | 1510 Capitola Rd, Santa Cruz, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720481526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0222X | Nurse Practitioner - Pediatrics, Critical Care | NP95001430 (California) | Primary |
| Entity Name | Santa Cruz Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952749541 PECOS PAC ID: 0840259107 Enrollment ID: O20180319001652 |
| Mailing Address | Practice Location Address |
|---|---|
| Corrine Lee Douglas, NP Po Box 542, Santa Cruz, CA 95061-0542 Ph: (831) 427-3500 | Corrine Lee Douglas, NP 1510 Capitola Rd, Santa Cruz, CA 95062-2912 Ph: (831) 427-3500 |
Kathleen C Hilton, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1510 Capitola Rd, Santa Cruz, CA 95062 Phone: 831-427-3500 | |
Allison Whitehead, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1510 Capitola Rd, Santa Cruz, CA 95062 Phone: 831-427-3500 | |
Eliza Nichole Angila, RN, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 Soquel Ave, Santa Cruz, CA 95062 Phone: 831-458-5524 | |
Claudia Maribel Rocha-lopez, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 412 Cedar St Ste C2, Santa Cruz, CA 95060 Phone: 831-888-0841 | |
Laura Koue, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1662 Dominican Way, Santa Cruz, CA 95065 Phone: 831-460-7350 | |
Miss Helena Poblador Norris, MSN NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1665 Dominican Way Ste 222, Santa Cruz, CA 95065 Phone: 844-387-5337 Fax: 866-264-3890 | |
Mr. Joshua Todd Siebell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1662 Dominican Way, Santa Cruz, CA 95065 Phone: 831-460-7350 |