| Maranda J Moore, FNP-C | |
|
10812 Rob Hill Rd, Dardanelle, AR 72834-8108 | |
| (479) 453-6216 | |
| Not Available |
| Full Name | Maranda J Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 10812 Rob Hill Rd, Dardanelle, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215549217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 124571 (Arkansas) | Primary |
| Entity Name | Dardanelle Regional Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1023109097 PECOS PAC ID: 0345576500 Enrollment ID: O20220523001905 |
| Entity Name | Dardanelle Regional Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1205940236 PECOS PAC ID: 0345576500 Enrollment ID: O20220525002921 |
| Entity Name | Dardanelle Regional Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1184629594 PECOS PAC ID: 0345576500 Enrollment ID: O20220831003913 |
| Entity Name | White Oak Medical Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962110031 PECOS PAC ID: 0042684433 Enrollment ID: O20230327001342 |
| Entity Name | Dardanelle Regional Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730737131 PECOS PAC ID: 0345576500 Enrollment ID: O20230711000936 |
| Mailing Address | Practice Location Address |
|---|---|
| Maranda J Moore, FNP-C 10812 Rob Hill Rd, Dardanelle, AR 72834-8108 Ph: (479) 453-6216 | Maranda J Moore, FNP-C 10812 Rob Hill Rd, Dardanelle, AR 72834-8108 Ph: (479) 453-6216 |
Ashley Dawn Shrives, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1176 State Highway 22 W, Suite B, Dardanelle, AR 72834 Phone: 870-605-0014 Fax: 870-994-7488 | |
Keely Hatfield, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1714 State Highway 22 W, Dardanelle, AR 72834 Phone: 479-477-3084 Fax: 479-477-3085 | |
Joe Hebert, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 N 3rd St, Dardanelle, AR 72834 Phone: 479-229-6191 Fax: 479-229-6194 | |
Katerina Lynn Devore, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 N 3rd St, Dardanelle, AR 72834 Phone: 479-229-6191 Fax: 479-229-6194 | |
Courtney Brashear, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1176 State Highway 22 W Ste B, Dardanelle, AR 72834 Phone: 479-229-3004 | |
Gretchen Keyse, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 N 4th St, Dardanelle, AR 72834 Phone: 479-229-2827 Fax: 479-229-5749 |