| Jeri Rosenbloom, NP | |
|
1650 Cowles St, Fairbanks, AK 99701-5907 | |
| (907) 452-8181 | |
| Not Available |
| Full Name | Jeri Rosenbloom |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 1650 Cowles St, Fairbanks, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134844749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 199813 (Alaska) | Primary |
| Entity Name | Tanana Valley Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922559558 PECOS PAC ID: 5698056901 Enrollment ID: O20161228001991 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeri Rosenbloom, NP 289 Jade St, Fairbanks, AK 99712-1832 Ph: Not Available | Jeri Rosenbloom, NP 1650 Cowles St, Fairbanks, AK 99701-5907 Ph: (907) 452-8181 |
Ms. Sarah Madsen, RN, PMHNP, SLP-CCC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 102 10th Ave, Fairbanks, AK 99701 Phone: 907-759-7697 |
Mrs. Kelly Kay Binkowski, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1626 30th Ave, Fairbanks, AK 99701 Phone: 907-479-7701 |
Janice L Stables, MSN, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1867 Airport Way, Ste 110b, Fairbanks, AK 99701 Phone: 907-452-6330 Fax: 907-452-6335 |
Anne Marie Lilley, RN, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1275 Sadler Way, #101, Fairbanks, AK 99701 Phone: 907-361-6370 Fax: 907-361-6372 |
Ms. Teresa Ann Brown Lyons, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 2nd Ave Ste 122, Fairbanks, AK 99701 Phone: 907-374-0852 Fax: 907-374-0854 |
Susana Donofry, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 565 University Ave Ste 1, Fairbanks, AK 99709 Phone: 215-704-1238 |
Myra Lynn Kelly, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1423 Peger Rd, Fairbanks, AK 99709 Phone: 907-563-1000 Fax: 907-563-2045 |