| Courtney Soto, | |
|
1095 Marshall Way Ste 100, Placerville, CA 95667-5722 | |
| (530) 626-2920 | |
| Not Available |
| Full Name | Courtney Soto |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1095 Marshall Way Ste 100, Placerville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841025228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95025493 (California) | Primary |
| Entity Name | Marshall Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962506097 PECOS PAC ID: 7517875859 Enrollment ID: O20031208001095 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Soto, 3171 Sudbury Rd, Cameron Park, CA 95682-8218 Ph: (530) 651-4186 | Courtney Soto, 1095 Marshall Way Ste 100, Placerville, CA 95667-5722 Ph: (530) 626-2920 |
Elizabeth Weissbart Wasik, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4340 Golden Center Dr Ste B, Placerville, CA 95667 Phone: 530-621-7700 | |
Lacey Etienne Neufeld, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1095 Marshall Way # 100, Placerville, CA 95667 Phone: 530-626-2920 | |
Ashley Witherspoon, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4212 Missouri Flat Rd, Placerville, CA 95667 Phone: 530-621-7700 | |
Sharon D Stone, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 905 Spring St, Placerville, CA 95667 Phone: 530-626-8300 Fax: 530-626-7617 | |
Sheila Dupuis Fleege, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1590 Carson Rd, Placerville, CA 95667 Phone: 530-642-8409 | |
Mrs. Kathryn Ann Sullivan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1095 Marshall Way, 2nd Floor, Placerville, CA 95667 Phone: 530-626-6155 | |
Mary Louise Giska, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4341 Golden Center Dr, Suite B, Placerville, CA 95667 Phone: 530-621-3600 Fax: 530-748-0325 |