| Dr Dolores A Nelson, CNP | |
|
36001 Euclid Ave, Suite C-17, Willoughby, OH 44094-4643 | |
| (440) 946-4662 | |
| (440) 946-4084 |
| Full Name | Dr Dolores A Nelson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 36001 Euclid Ave, Willoughby, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801849005 | NPI | - | NPPES |
| 000000526664 | Other | OH | ANTHEM BLUE SHIELD |
| 2411107 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP03177 (Ohio) | Primary |
| Entity Name | New Millennium Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891703237 PECOS PAC ID: 5193823698 Enrollment ID: O20070607000027 |
| Entity Name | Main Street Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063683662 PECOS PAC ID: 5597835728 Enrollment ID: O20080530000508 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dolores A Nelson, CNP 36001 Euclid Ave, Suite C-17, Willoughby, OH 44094-4643 Ph: (440) 946-4662 | Dr Dolores A Nelson, CNP 36001 Euclid Ave, Suite C-17, Willoughby, OH 44094-4643 Ph: (440) 946-4662 |
Samantha C Cole, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6005 Som Center Rd, Willoughby, OH 44094 Phone: 866-389-2727 | |
Robert William Jonath, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Avenue, Willoughby, OH 44094 Phone: 440-953-9600 | |
Kimberly Vanik, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35717 Euclid Ave, Willoughby, OH 44094 Phone: 440-449-1540 | |
Ashley King, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 Arbor Dr, Willoughby, OH 44094 Phone: 440-339-0218 | |
Shanon Lee Mekesa Ellis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6005 Som Center Rd, Willoughby, OH 44094 Phone: 440-946-7252 | |
Alexandria Uher, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 35717 Euclid Ave, Willoughby, OH 44094 Phone: 440-449-1540 | |
Lisa Kuhen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36001 Euclid Ave, Suite C6, Willoughby, OH 44094 Phone: 440-946-0053 Fax: 440-946-1812 |