| Mrs Malia Seneca Ann Mcconnell, FNP-C | |
|
1375 N Watson Ave, Eagle, ID 83616-6675 | |
| (208) 401-6073 | |
| Not Available |
| Full Name | Mrs Malia Seneca Ann Mcconnell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1375 N Watson Ave, Eagle, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154106235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 53457 (Idaho) | Primary |
| Entity Name | Mmmedical Group Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548890460 PECOS PAC ID: 4183055395 Enrollment ID: O20200501002656 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Malia Seneca Ann Mcconnell, FNP-C 1375 N Watson Ave, Eagle, ID 83616-6675 Ph: (208) 401-6073 | Mrs Malia Seneca Ann Mcconnell, FNP-C 1375 N Watson Ave, Eagle, ID 83616-6675 Ph: (208) 401-6073 |
Evita Kvista, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 S Linder Rd Apt B301, Eagle, ID 83616 Phone: 208-412-9622 | |
Ms. Beth Elaine Landis, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 E Rivers End Ct, Eagle, ID 83616 Phone: 208-939-6030 | |
Bethany Joy Mello, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 951 E Plaza Dr Ste 170, Eagle, ID 83616 Phone: 208-939-3505 | |
Christopher Alan Anthony Nicholas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3101 E State St, Eagle, ID 83616 Phone: 208-473-3100 | |
Jessica Watson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 S Linder Rd Apt O107, Eagle, ID 83616 Phone: 208-519-8520 | |
Claudia Parcells, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 951 E Plaza Dr, Suite 170, Eagle, ID 83616 Phone: 208-939-3505 Fax: 208-939-3507 |