| Heidi L Davis, CPNP | |
|
151 State Route 10 E, Ste 105, Succasunna, NJ 07876-1452 | |
| (973) 584-0002 | |
| (973) 584-7107 |
| Full Name | Heidi L Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 151 State Route 10 E, Succasunna, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649324740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 26NJ00065300 (New Jersey) | Primary |
| Entity Name | Advocare , Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi L Davis, CPNP 50 Hillcrest Ave, Montvale, NJ 07645-2228 Ph: (201) 505-9155 | Heidi L Davis, CPNP 151 State Route 10 E, Ste 105, Succasunna, NJ 07876-1452 Ph: (973) 584-0002 |
Mrs. Michelle Janice Roberts, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 66 Sunset Strip Ste 407, Succasunna, NJ 07876 Phone: 973-252-1676 | |
Karin A Marshello-stosic, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Route 10 E Ste 103, Succasunna, NJ 07876 Phone: 973-584-9984 Fax: 973-584-9954 | |
Mr. Timothy Allen Aldrich, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 278 Route 10 W, Succasunna, NJ 07876 Phone: 624-775-2888 Fax: 862-477-5290 | |
Emad M Khella, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Commerce Blvd Ste 100, Succasunna, NJ 07876 Phone: 973-587-6404 | |
Ms. Eileen M Corcoran, RN, APN,C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 151 State Route 10 E, Suite 105, Succasunna, NJ 07876 Phone: 973-584-0002 | |
Denise Cusick, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 66 Sunset Strip Ste 407, Succasunna, NJ 07876 Phone: 973-252-1676 Fax: 973-252-1686 | |
Maitanya Macalino-manuel, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 66 Sunset Strip Ste 407, Succasunna, NJ 07876 Phone: 973-252-1676 |