| Heather Anne Weller, FNP-C | |
|
925 Bevins Ct, Lakeport, CA 95453-9754 | |
| (707) 263-8382 | |
| Not Available |
| Full Name | Heather Anne Weller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 925 Bevins Ct, Lakeport, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508624297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP95028646 (California) | Primary |
| Entity Name | Lake County Tribal Health Consortium Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881697381 PECOS PAC ID: 8729975545 Enrollment ID: O20040304000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Anne Weller, FNP-C 6035 Gold Dust Dr, Kelseyville, CA 95451-9209 Ph: (707) 695-6991 | Heather Anne Weller, FNP-C 925 Bevins Ct, Lakeport, CA 95453-9754 Ph: (707) 263-8382 |
Pamela Balch Maes, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5108 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-1840 Fax: 707-262-5844 | |
Mary Benson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 987 Parallel Dr Ste C, Lakeport, CA 95453 Phone: 707-262-5088 | |
Charissa M Barsos, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8382 Fax: 707-263-5019 | |
Ms. Patricia Lynn Sanders, RN NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5176 Hill Rd East, Lakeport, CA 95453 Phone: 707-262-5088 Fax: 707-262-5135 | |
Ellen Marie Boersma, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5150 Hill Rd E, #f, Lakeport, CA 95453 Phone: 707-262-3060 | |
Ms. Chalice Ann Addis, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8382 Fax: 707-263-1909 | |
Florencia Karina Miranda Chumpitaz, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 359 Lakeport Blvd, Lakeport, CA 95453 Phone: 707-513-6002 |