| Liana Cuttie, | |
|
320 Racetrack Rd Nw Ste 100c, Fort Walton Beach, FL 32547-1796 | |
| (850) 863-0883 | |
| (850) 862-0188 |
| Full Name | Liana Cuttie |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 320 Racetrack Rd Nw Ste 100c, Fort Walton Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336635549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP10029 (Louisiana) | Secondary |
| 363L00000X | Nurse Practitioner | APRN11041830 (Florida) | Primary |
| Entity Name | Brfhh Shreveport Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912909912 PECOS PAC ID: 0345475836 Enrollment ID: O20150519000353 |
| Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
| Entity Name | University Health Shreveport, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619443611 PECOS PAC ID: 7416207196 Enrollment ID: O20181109000875 |
| Mailing Address | Practice Location Address |
|---|---|
| Liana Cuttie, 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 Ph: (318) 456-6555 | Liana Cuttie, 320 Racetrack Rd Nw Ste 100c, Fort Walton Beach, FL 32547-1796 Ph: (850) 863-0883 |
Celeste Ann Macdonald, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 Phone: 850-431-6183 Fax: 850-431-6497 | |
Brittany Nicole Grimes, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-8100 Fax: 850-243-0594 | |
Sylvia Wages, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 Phone: 850-226-6801 Fax: 877-413-5104 | |
Robert Nicholas Donofrio, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 137 Hospital Dr Ne, Fort Walton Beach, FL 32548 Phone: 850-833-7451 Fax: 850-833-7439 | |
Emily Herman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 319 Green Acres Rd Ste 103, Fort Walton Beach, FL 32547 Phone: 850-862-2385 | |
Julie Clausen Powell, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Mar Walt Drive, Cvs Minute Clinic, Fort Walton Beach, FL 32547 Phone: 850-863-8219 Fax: 850-863-8249 | |
Brenda Carol Dixon, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 221 Hospital Dr Ne, Fort Walton Beach, FL 32548 Phone: 850-833-9240 Fax: 850-833-9252 |