Elizabeth Wagoner, APRN | |
15790 Sw Famel Ave, Indiantown, FL 34956-3533 | |
(419) 345-2797 | |
Not Available |
Full Name | Elizabeth Wagoner |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 15790 Sw Famel Ave, Indiantown, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740953660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 11014158 (Florida) | Primary |
Entity Name | Tenet Florida Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659417467 PECOS PAC ID: 0345349478 Enrollment ID: O20080129000575 |
Mailing Address | Practice Location Address |
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Elizabeth Wagoner, APRN 15790 Sw Famel Ave, Indiantown, FL 34956-3533 Ph: (419) 345-2797 | Elizabeth Wagoner, APRN 15790 Sw Famel Ave, Indiantown, FL 34956-3533 Ph: (419) 345-2797 |
Karen Ann Mercer, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1150 Sw Allapattah Rd, Indiantown, FL 34956 Phone: 772-597-3705 | |
Maxine Reeves Davis, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 96 Sw Allapattah Rd, Indiantown, FL 34956 Phone: 772-597-9441 | |
Reginald J Sincere, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1150 Sw Allapattah Rd, Indiantown, FL 34956 Phone: 954-588-9241 | |
Asha K Kornegay, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15858 Sw Warfield Blvd., Indiantown, FL 34956 Phone: 772-597-3596 Fax: 844-542-4898 | |
Karen Deborah Smith, FNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15208 Sw Palm Oak Dr, Indiantown, FL 34956 Phone: 772-349-0544 | |
Tisha Alecia Patten, NP-C, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1150 Sw Allapattah Rd, Indiantown, FL 34956 Phone: 772-597-0000 |