| Kmisha Brand, RN, MSN, FNP-BC | |
|
133 Spinder Dr Ste 4015, East Peoria, IL 61611 | |
| (309) 308-5100 | |
| Not Available |
| Full Name | Kmisha Brand |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 133 Spinder Dr Ste 4015, East Peoria, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649856717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.020594 (Illinois) | Primary |
| Entity Name | Midwest Post Acute Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083012074 PECOS PAC ID: 0143547117 Enrollment ID: O20170127000348 |
| Entity Name | Midwest Post Acute Care Aco Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457926537 PECOS PAC ID: 2961804976 Enrollment ID: O20210714000468 |
| Mailing Address | Practice Location Address |
|---|---|
| Kmisha Brand, RN, MSN, FNP-BC 133 Spinder Dr Ste 4015, East Peoria, IL 61611 Ph: (309) 308-5100 | Kmisha Brand, RN, MSN, FNP-BC 133 Spinder Dr Ste 4015, East Peoria, IL 61611 Ph: (309) 308-5100 |
Delanie Lynn Fletcher, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100 | |
Mrs. Deidra Diane Anderson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100 | |
Joshua A Larson, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 133 Spinder Dr Ste 4015, East Peoria, IL 61611 Phone: 309-308-5100 Fax: 309-308-5102 | |
Amy J Stone, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100 | |
Courtney Elizabeth Reubin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100 | |
Kaylee Elizabeth Polen, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-265-7287 | |
Brittany Anne Mcgill, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Spinder Dr Ste 4015, East Peoria, IL 61611 Phone: 309-308-5100 Fax: 309-308-5102 |