| Julie Fadness, FNP | |
|
101 Old Mccloud Rd, Mount Shasta, CA 96067-2796 | |
| (530) 926-5100 | |
| Not Available |
| Full Name | Julie Fadness |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 101 Old Mccloud Rd, Mount Shasta, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740625516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 23146 (California) | Primary |
| Entity Name | Mccloud Healthcare Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164428488 PECOS PAC ID: 3779494919 Enrollment ID: O20031118001091 |
| Entity Name | Mountain Valleys Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356438261 PECOS PAC ID: 4284685538 Enrollment ID: O20050429000424 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Fadness, FNP 6716 Shasta Cv, Weed, CA 96094-9776 Ph: () - | Julie Fadness, FNP 101 Old Mccloud Rd, Mount Shasta, CA 96067-2796 Ph: (530) 926-5100 |
Mrs. Barbra Lewis, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Old Mccloud Rd, Mount Shasta, CA 96067 Phone: 530-926-5100 Fax: 530-926-1859 | |
Mrs. Rebecca S Boehme, RN FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 725 Pine St, Mount Shasta, CA 96067 Phone: 530-926-4556 Fax: 530-926-4532 |