| Mrs Sandy Heidel Bocklud, NNP | |
|
18951 N Memorial Dr, Humble, TX 77338-4217 | |
| (281) 540-7806 | |
| Not Available |
| Full Name | Mrs Sandy Heidel Bocklud |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Neonatal |
| Location | 18951 N Memorial Dr, Humble, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548537269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LN0000X | Nurse Practitioner - Neonatal | 1095084 (Texas) | Primary |
| Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
| Entity Name | University Health Shreveport, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619443611 PECOS PAC ID: 7416207196 Enrollment ID: O20181109000875 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sandy Heidel Bocklud, NNP 219 Delta Dr, Mandeville, LA 70448-7570 Ph: (985) 789-0108 | Mrs Sandy Heidel Bocklud, NNP 18951 N Memorial Dr, Humble, TX 77338-4217 Ph: (281) 540-7806 |
Tyler Walker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1806 Humble Place Dr, Humble, TX 77338 Phone: 281-369-9514 | |
Jackquel Aneshia Collins, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18103 Clover Park Dr, Humble, TX 77346 Phone: 318-820-5026 | |
Monica S Jackson, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 93 Isaacks Rd, Humble, TX 77338 Phone: 281-446-7159 | |
Michael Chen, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18838 S Memorial Dr Ste 106, Humble, TX 77338 Phone: 713-338-6422 | |
Amanda Graff, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22999 Hwy 59 N, Humble, TX 77339 Phone: 281-348-8000 | |
Ruth W Nginyi, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17202 Spirit Falls Ct, Humble, TX 77346 Phone: 832-896-2836 | |
Kacy Hincapie, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18835 Mckay Dr, Humble, TX 77338 Phone: 832-644-8930 |