| Mrs Deidra A Bolton, NP | |
|
120 Colonial Promenade Pkwy, Alabaster, AL 35007 | |
| (205) 605-0495 | |
| (205) 605-0493 |
| Full Name | Mrs Deidra A Bolton |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 120 Colonial Promenade Pkwy, Alabaster, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609207273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 1-073608 (Alabama) | Primary |
| Entity Name | American Family Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429080 PECOS PAC ID: 9739087818 Enrollment ID: O20031229000157 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210224000756 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Deidra A Bolton, NP 120 Colonial Promenade Pkwy, Alabaster, AL 35007 Ph: (205) 605-0495 | Mrs Deidra A Bolton, NP 120 Colonial Promenade Pkwy, Alabaster, AL 35007 Ph: (205) 605-0495 |
Stephanie Lynn Woods, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 1st St N, Alabaster, AL 35007 Phone: 205-620-7059 | |
Mrs. Amanda T Cabaniss, RN, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1024 1st St N, Central Alabama Oncology, Llc, Alabaster, AL 35007 Phone: 205-664-4051 Fax: 205-664-4054 | |
Brody Weldon, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 1st St N, Alabaster, AL 35007 Phone: 205-620-7004 | |
Mr. Ricardo Paitz, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 1st St N, Alabaster, AL 35007 Phone: 205-620-8100 | |
Jennifer Gafnea, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 1st St N Ste C, Alabaster, AL 35007 Phone: 205-381-2381 | |
William Alexander Woodard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 1st Street North Ste. C, Alabaster, AL 35007 Phone: 205-663-5990 | |
Karen Lyle Roberts Fry, MSN, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 1st Street N, Suite 301, Alabaster, AL 35007 Phone: 205-621-7915 Fax: 205-620-2503 |