| Gloria Lynn Niquette, ARNP | |
|
155 Se 6th Pl, Lake Butler, FL 32054-2213 | |
| (386) 496-1236 | |
| Not Available |
| Full Name | Gloria Lynn Niquette |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 155 Se 6th Pl, Lake Butler, Florida |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366874174 | NPI | - | NPPES |
| LICENCE NUMBER | Other | FL | ARNP9214471 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | ARNP9214471 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Suncrest Omni | Crystal river, FL | Home health agency |
| Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
| North Florida Regional Medical Center | Gainesville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Starke Family Medical Center Inc | 0143207704 | 8 |
| Lake Area Physical Therapy Inc. | 3678604840 | 252 |
| Entity Name | Medlink Management Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013972272 PECOS PAC ID: 2466360797 Enrollment ID: O20040227000090 |
| Entity Name | Starke Family Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487727038 PECOS PAC ID: 0143207704 Enrollment ID: O20040701000581 |
| Mailing Address | Practice Location Address |
|---|---|
| Gloria Lynn Niquette, ARNP 345 W. Madison St, Starke, FL 32091-3923 Ph: (904) 964-5455 | Gloria Lynn Niquette, ARNP 155 Se 6th Pl, Lake Butler, FL 32054-2213 Ph: (386) 496-1236 |
Laura Caswell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7765 S County Road 231, Lake Butler, FL 32054 Phone: 601-291-3146 | |
Ms. Andrea E Waterhouse, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 395 W Main St, Lake Butler, FL 32054 Phone: 386-496-3154 Fax: 386-496-1246 | |
Karl Hudson Dupont, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7765 S County Road 231, Lake Butler, FL 32054 Phone: 386-496-6000 | |
Cheryl Anderson Caska, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 East Main Street, Lake Butler, FL 32054 Phone: 386-496-2323 | |
Mrs. Jamie Lynn Parrish, MSN, ARNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15995 W State Road 238, Lake Butler, FL 32054 Phone: 386-496-9006 Fax: 844-276-8610 | |
Mr. Jon David Johnson, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 495 E Main St, Lake Butler, FL 32054 Phone: 386-496-3211 Fax: 386-496-1599 |