| Jordan Marie Wyrick, | |
| 363 Highland Ave, Fall River, MA 02720-3703 | |
| (508) 973-5425 | |
| Not Available | 
| Full Name | Jordan Marie Wyrick | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 363 Highland Ave, Fall River, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1558901223 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN2336854 (Massachusetts) | Primary | 
| Entity Name | Southcoast Physicians Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 | 
| Entity Name | North American Partners In Anesthesia Massachusetts Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457867020 PECOS PAC ID: 8820350713 Enrollment ID: O20180312001704 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jordan Marie Wyrick, 363 Highland Ave, Fall River, MA 02720-3703 Ph: (508) 973-2000 | Jordan Marie Wyrick, 363 Highland Ave, Fall River, MA 02720-3703 Ph: (508) 973-5425 | 
| Amy M Stowe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 795 Middle St, Fall River, MA 02721 Phone: 508-235-5258 Fax: 508-675-5671 | |
| Corey Mammen,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 795 Middle St, Fall River, MA 02721 Phone: 508-674-5600 | |
| Mrs. Christine Carlin Celone, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 363 Highland Ave, Fall River, MA 02720 Phone: 508-679-3131 Fax: 508-679-7146 | |
| Mr. Paul J Angelo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 363 Highland Ave, Fall River, MA 02720 Phone: 508-679-3131 Fax: 508-679-7146 | |
| Susan Jean Augustus, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 795 Middle St, Fall River, MA 02721 Phone: 508-235-5258 Fax: 508-675-5671 | |
| Mrs. Jacqueline M Mula, C.R.N.A Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 363 Highland Ave, Fall River, MA 02720 Phone: 508-679-3131 Fax: 508-679-7146 | |
| Keith Steven Buehler,  Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 363 Highland Ave, Fall River, MA 02720 Phone: 508-973-7014 |