Heather Marie Key, APRN | |
871 W Main St, Booneville, AR 72927-3420 | |
(479) 675-4100 | |
Not Available |
Full Name | Heather Marie Key |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 871 W Main St, Booneville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780099598 | NPI | - | NPPES |
208604758 | Medicaid | AR | |
5AP35 | Other | AR | BCBS |
3740014JDS | Other | AR | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | A004091 (Arkansas) | Primary |
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | A004091 (Arkansas) | Secondary |
Entity Name | Diffine Family Practice Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962707158 PECOS PAC ID: 4486836657 Enrollment ID: O20110309000298 |
Mailing Address | Practice Location Address |
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Heather Marie Key, APRN 4196 Highway 62 412 Ste A, Hardy, AR 72542-8002 Ph: () - | Heather Marie Key, APRN 871 W Main St, Booneville, AR 72927-3420 Ph: (479) 675-4100 |
Travis Walling, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 871 W Main St, Booneville, AR 72927 Phone: 479-675-4100 Fax: 479-675-4102 | |
Casandra Ann Thurman, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 128 Daniel Dr, Booneville, AR 72927 Phone: 479-675-2455 Fax: 479-675-4940 | |
Mr. Steven Lee Mcdonald, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 880 W Main St, Booneville, AR 72927 Phone: 479-675-2455 Fax: 479-675-4940 | |
Drake Schichtl, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 128 Daniel Dr, Booneville, AR 72927 Phone: 479-675-2455 Fax: 479-675-4940 | |
Hannah Spence, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 871 W Main St, Booneville, AR 72927 Phone: 479-675-4100 Fax: 479-675-4102 | |
Alana Jean Noel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1069 S Sharpe Ave, Booneville, AR 72927 Phone: 479-675-0516 Fax: 949-553-3868 | |
Anthony Vincent Ciaramitaro, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 871 W Main St, Booneville, AR 72927 Phone: 479-675-4100 Fax: 870-895-2164 |