| Mrs Tanda Elizabeth Hicks, FNP | |
|
1551 Brice St, Wheatland Medical Clinic, Wheatland, WY 82201-3505 | |
| (307) 322-3861 | |
| (307) 322-2018 |
| Full Name | Mrs Tanda Elizabeth Hicks |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 1551 Brice St, Wheatland, Wyoming |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053312504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 18710-0263 (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Platte County Memorial Hospital | Wheatland, WY | Hospital |
| Memorial Hospital Of Converse County | Douglas, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Hospital Of Converse County | 2264340843 | 55 |
| Entity Name | Memorial Hospital Of Converse County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356496491 PECOS PAC ID: 2264340843 Enrollment ID: O20031203000672 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tanda Elizabeth Hicks, FNP 1551 Brice St, Wheatland, WY 82201-3505 Ph: (307) 322-3861 | Mrs Tanda Elizabeth Hicks, FNP 1551 Brice St, Wheatland Medical Clinic, Wheatland, WY 82201-3505 Ph: (307) 322-3861 |
Julie Lorraine Resheske, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1551 Brice St, Wheatland, WY 82201 Phone: 307-322-3861 Fax: 307-322-2018 | |
Mrs. Katherine Nicole Roth, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 14th St, Wheatland, WY 82201 Phone: 307-322-3861 | |
Mary H. Woolsey, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1551 Brice St, Wheatland, WY 82201 Phone: 307-322-3861 Fax: 307-322-2018 | |
Deborah Diane Robertson, RNC,NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4755 Palmer Canyon Rd, Wheatland, WY 82201 Phone: 307-331-0187 | |
Amy Johnson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 Brice St, Wheatland, WY 82201 Phone: 307-322-3861 |