| Ms Anna Maria Shute, FNP-BC | |
|
480 W Southlake Blvd Ste 115, Southlake, TX 76092-6167 | |
| (945) 262-7676 | |
| (469) 947-6114 |
| Full Name | Ms Anna Maria Shute |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 480 W Southlake Blvd Ste 115, Southlake, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720702020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1095402 (Texas) | Primary |
| Entity Name | Minuteclinic Diagnostic Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609076330 PECOS PAC ID: 7416039177 Enrollment ID: O20080204000113 |
| Entity Name | Minuteclinic Telehealth Services Of Texas Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922564301 PECOS PAC ID: 8921437427 Enrollment ID: O20200404000028 |
| Entity Name | Primary Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770354763 PECOS PAC ID: 0941642169 Enrollment ID: O20240520002763 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Anna Maria Shute, FNP-BC 3701 Ira E Woods Ave, Grapevine, TX 76051-4213 Ph: (817) 251-2501 | Ms Anna Maria Shute, FNP-BC 480 W Southlake Blvd Ste 115, Southlake, TX 76092-6167 Ph: (945) 262-7676 |
Carmen Santiago, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1110 N Carroll Ave, Southlake, TX 76092 Phone: 817-310-1100 Fax: 817-310-1197 | |
Nikita Greenwood, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1920 E State Highway 114, Southlake, TX 76092 Phone: 817-442-5698 | |
Janice F Rubbelke, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 E Southlake Blvd, Suite 200, Southlake, TX 76092 Phone: 817-488-1956 Fax: 817-488-8675 | |
Mona Lisa Jimenez, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 E State Highway 114 Fl 1, Southlake, TX 76092 Phone: 844-824-8775 | |
Andrew Sadousky, MS, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 Miron Dr, Southlake, TX 76092 Phone: 817-328-3000 | |
Pete C Bravo Jr., FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2777 E Southlake Blvd Ste 140, Southlake, TX 76092 Phone: 817-686-8104 | |
Heather Mendoza, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 E State Highway 114 Fl 1, Southlake, TX 76092 Phone: 844-824-8775 |