| Mrs Carla A Etherton-moore, CRNP | |
|
11 Medical Park, Valley, AL 36854-3665 | |
| (334) 756-4860 | |
| (334) 756-4866 |
| Full Name | Mrs Carla A Etherton-moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 22 Years |
| Location | 11 Medical Park, Valley, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063478576 | NPI | - | NPPES |
| 891010840 | Medicaid | AL | |
| 515-32708 | Other | AL | BLUE CROSS OF AL PROV # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1-093749 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| East Alabama Medical Center And Snf | Opelika, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Area Primary Care Llc | 1658672530 | 9 |
| Entity Name | Valley Area Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508252685 PECOS PAC ID: 1658672530 Enrollment ID: O20151217002463 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Carla A Etherton-moore, CRNP 11 Medical Park, Valley, AL 36854-3665 Ph: (334) 756-4860 | Mrs Carla A Etherton-moore, CRNP 11 Medical Park, Valley, AL 36854-3665 Ph: (334) 756-4860 |
Leah Knight, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3306 20th Ave, Valley, AL 36854 Phone: 334-756-0305 | |
Miracle Lovelace, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 Medical Park N, Valley, AL 36854 Phone: 334-756-8043 Fax: 334-756-8059 | |
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 |