| Malinda Bridgette Anderson, FNP-BC | |
|
55 Cherry Ln Ste 1b, Wakefield, RI 02879-3617 | |
| (401) 284-4555 | |
| Not Available |
| Full Name | Malinda Bridgette Anderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 55 Cherry Ln Ste 1b, Wakefield, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326542424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95020692 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN01785 (Rhode Island) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Somagen Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396058137 PECOS PAC ID: 1557530151 Enrollment ID: O20110817000276 |
| Entity Name | Somagen Healthcare Ii Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316225147 PECOS PAC ID: 4981877735 Enrollment ID: O20111024000461 |
| Entity Name | Somagen Healthcare Iii Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558788620 PECOS PAC ID: 8921225830 Enrollment ID: O20140815001327 |
| Mailing Address | Practice Location Address |
|---|---|
| Malinda Bridgette Anderson, FNP-BC 55 Cherry Ln Ste 1b, Wakefield, RI 02879-3617 Ph: (401) 284-4555 | Malinda Bridgette Anderson, FNP-BC 55 Cherry Ln Ste 1b, Wakefield, RI 02879-3617 Ph: (401) 284-4555 |
Diane Mckeeff, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Cherry Ln, Suite 1b, Wakefield, RI 02879 Phone: 401-789-7137 Fax: 401-685-0420 | |
Mr. Robert Desrosiers, APRN NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 Main St, Store # 2065, Wakefield, RI 02879 Phone: 401-783-3384 | |
Mrs. Mollie Jean Garrison, AG-ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 401-782-8000 | |
Caroline H. Jenckes, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 401-788-1590 | |
Ms. Jill Susan Iacono, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Cherry Ln Ste 1b, Wakefield, RI 02879 Phone: 401-284-4555 | |
Gianna Delgado, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 River St, Wakefield, RI 02879 Phone: 401-783-0523 | |
Karen Ann Soderberg-gomez, RNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 401-788-1638 Fax: 401-782-9892 |