Mrs Stacey Renee Troublefield, NP | |
22 Century Blvd Ste 220, Nashville, TN 37214-3787 | |
(562) 622-2800 | |
Not Available |
Full Name | Mrs Stacey Renee Troublefield |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 22 Century Blvd Ste 220, Nashville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043943822 | NPI | - | NPPES |
0024184631 | Other | VA | VIRGINIA BOARD OF NURSING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 0024184631 (Virginia) | Primary |
Entity Name | Carelon Medical Partners, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20161216001003 |
Entity Name | Signify Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210226002383 |
Entity Name | Pmr Virginia Holding Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083167001 PECOS PAC ID: 9537576608 Enrollment ID: O20210408000505 |
Mailing Address | Practice Location Address |
---|---|
Mrs Stacey Renee Troublefield, NP 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 Ph: (562) 622-2800 | Mrs Stacey Renee Troublefield, NP 22 Century Blvd Ste 220, Nashville, TN 37214-3787 Ph: (562) 622-2800 |
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