| Holly Nicole Myles, NP | |
|
2401 Ranch Rd, West Lafayette, IN 47906-9789 | |
| (765) 412-4478 | |
| Not Available |
| Full Name | Holly Nicole Myles |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 2401 Ranch Rd, West Lafayette, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922037811 | NPI | - | NPPES |
| 000000668422 | Other | IN | ANTHEM PROVIDER NUMBER |
| 200844660 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71002110A (Indiana) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | 71002110A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Rensselaer, Inc | Rensselaer, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Franciscan Physician Network | 3072790682 | 1041 |
| Entity Name | Arnett Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
| Entity Name | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Nicole Myles, NP 2401 Ranch Rd, West Lafayette, IN 47906-9789 Ph: (765) 412-4478 | Holly Nicole Myles, NP 2401 Ranch Rd, West Lafayette, IN 47906-9789 Ph: (765) 412-4478 |
Laura L Wavra, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-6722 Fax: 765-463-0905 | |
Marcia Ann Stroup, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-448-8227 | |
Gayle Doll, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 512 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-497-3551 | |
Mrs. Stephanie L. Davitto, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Sagamore Pkwy West, West Lafayette, IN 47906 Phone: 765-463-6722 Fax: 765-463-0905 | |
Mrs. Denajah Tyler, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2550 Northwestern Ave, West Lafayette, IN 47906 Phone: 313-828-1599 | |
Yun Cai, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Stadium Mall Dr, West Lafayette, IN 47907 Phone: 765-494-1700 | |
Azza H Ahmed, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 N University St, West Lafayette, IN 47907 Phone: 765-494-4040 |