| Mrs Ciara Pennock, FNP-C | |
|
600 E Allen St Ste A, Knob Noster, MO 65336-1184 | |
| (660) 563-5555 | |
| Not Available |
| Full Name | Mrs Ciara Pennock |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 600 E Allen St Ste A, Knob Noster, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609531623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2021043083 (Missouri) | Primary |
| Entity Name | Western Missouri Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215388293 PECOS PAC ID: 5092852111 Enrollment ID: O20091022000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Ciara Pennock, FNP-C 600 E Allen St Ste A, Knob Noster, MO 65336-1184 Ph: (660) 563-5555 | Mrs Ciara Pennock, FNP-C 600 E Allen St Ste A, Knob Noster, MO 65336-1184 Ph: (660) 563-5555 |
Wren Moss, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 E Allen St Ste A, Knob Noster, MO 65336 Phone: 660-563-5555 | |
Mrs. Rebecca Anne Seelinger, MSN, ARNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Western Mo Family Healthcare - Knob Noster, 600 E Allen St, Ste A, Knob Noster, MO 65336 Phone: 660-563-5555 Fax: 660-563-5555 | |
Ms. Tamara R Greer, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 E Allen St, Knob Noster, MO 65336 Phone: 660-563-5555 |