Makenna Clark, | |
10120 S Eastern Ave Ste 100, Henderson, NV 89052-3952 | |
(702) 476-0734 | |
Not Available |
Full Name | Makenna Clark |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 10120 S Eastern Ave Ste 100, Henderson, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992435697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 848945 (Nevada) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 848945 (Nevada) | Primary |
Entity Name | Valley Anesthesiology Consultants-beckett-pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437326857 PECOS PAC ID: 6507925849 Enrollment ID: O20081031000516 |
Mailing Address | Practice Location Address |
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Makenna Clark, 5 92nd Ave Ne, Bellevue, WA 98004-4936 Ph: (253) 720-8027 | Makenna Clark, 10120 S Eastern Ave Ste 100, Henderson, NV 89052-3952 Ph: (702) 476-0734 |
Jaime Parke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, Suite B18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Akimi S Mcknight, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, B18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Natalie J Lewis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, #b-18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Heather Wiley Suescun, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, #b-18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Matthew Lee Rigby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, Suite B18, Henderson, NV 89015 Phone: 702-564-4440 | |
Curtis Boardman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, B 18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Mr. Michael Douglas Dixon, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 129 W Lake Mead Pkwy, Suite B-18, Henderson, NV 89015 Phone: 702-564-4440 |