| Denita Waltower, APRN | |
|
1045 Mccall St, Hephzibah, GA 30815-4660 | |
| (762) 233-5807 | |
| Not Available |
| Full Name | Denita Waltower |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1045 Mccall St, Hephzibah, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720750847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN227279 (Georgia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN227279 (Georgia) | Primary |
| Entity Name | Brigade Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750114823 PECOS PAC ID: 1850823071 Enrollment ID: O20241014000952 |
| Mailing Address | Practice Location Address |
|---|---|
| Denita Waltower, APRN 1045 Mccall St, Hephzibah, GA 30815-4660 Ph: () - | Denita Waltower, APRN 1045 Mccall St, Hephzibah, GA 30815-4660 Ph: (762) 233-5807 |
Catherine Espitallier, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1915 Hephzibah Mcbean Rd, Hephzibah, GA 30815 Phone: 706-294-9686 | |
Cynthia Germany, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2623 New Hope Cir, Hephzibah, GA 30815 Phone: 706-294-3548 | |
Brittney Scruggs, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2647 Ardwick Dr, Hephzibah, GA 30815 Phone: 706-373-8356 | |
Mrs. Annalise Prunier, DNP-FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1924 Corley Rd, Hephzibah, GA 30815 Phone: 706-832-9342 | |
Angelique Raffinee Lawson, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2241 Sunny Day Dr, Hephzibah, GA 30815 Phone: 802-239-6065 Fax: 855-780-0882 | |
Tiffany Banks Wright, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4054 Pinnacle Way, Hephzibah, GA 30815 Phone: 336-420-4833 |