| Miracle Lovelace, FNP | |
|
6 Medical Park N, Valley, AL 36854-3601 | |
| (334) 756-8043 | |
| (334) 756-8059 |
| Full Name | Miracle Lovelace |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 6 Medical Park N, Valley, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295572709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3001882 (Alabama) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN276970 (Georgia) | Primary |
| Entity Name | Alabama Post-acute Medical Service 1 Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073052403 PECOS PAC ID: 7416229406 Enrollment ID: O20170825002379 |
| Entity Name | Nm Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366928749 PECOS PAC ID: 3375892060 Enrollment ID: O20191109000048 |
| Entity Name | Cs Pacs 3 Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20240731003767 |
| Mailing Address | Practice Location Address |
|---|---|
| Miracle Lovelace, FNP 6 Medical Park N, Valley, AL 36854-3601 Ph: (334) 756-8043 | Miracle Lovelace, FNP 6 Medical Park N, Valley, AL 36854-3601 Ph: (334) 756-8043 |
Mrs. Carla A Etherton-moore, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Medical Park, Valley, AL 36854 Phone: 334-756-4860 Fax: 334-756-4866 | |
Leah Knight, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3306 20th Ave, Valley, AL 36854 Phone: 334-756-0305 | |
Allison Strickland, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3306 20th Ave, Valley, AL 36854 Phone: 334-756-0305 | |
Mrs. Leanne Knowles, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Medical Park, Valley, AL 36854 Phone: 334-756-5150 | |
James Austin Barron, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3306 20th Ave, Valley, AL 36854 Phone: 334-756-0305 | |
Valalena L Maddox, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 Medical Park, Valley, AL 36854 Phone: 334-756-8043 Fax: 334-756-8059 |