Ms Chardilaine Whitlock, FNP-C | |
4130 Walnut Dr, Eureka, CA 95503-6223 | |
(209) 985-0019 | |
Not Available |
Full Name | Ms Chardilaine Whitlock |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4130 Walnut Dr, Eureka, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083342083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95021542 (California) | Primary |
Entity Name | Gateway Medical Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770993370 PECOS PAC ID: 3678886231 Enrollment ID: O20150724012377 |
Entity Name | St Joseph Health Northern California Llc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1285849026 PECOS PAC ID: 8921374562 Enrollment ID: O20180213001383 |
Mailing Address | Practice Location Address |
---|---|
Ms Chardilaine Whitlock, FNP-C 4130 Walnut Dr, Eureka, CA 95503-6223 Ph: (209) 985-0019 | Ms Chardilaine Whitlock, FNP-C 4130 Walnut Dr, Eureka, CA 95503-6223 Ph: (209) 985-0019 |
Elizabeth Wachtel O'brien, CNM, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3200 Walford Ave, Suite B, Eureka, CA 95503 Phone: 707-445-3443 Fax: 707-445-1848 | |
Rachel Hatchimonji, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2280 Harrison Ave, Eureka, CA 95501 Phone: 707-443-9371 | |
Ms. Suzanne Dietz, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Tydd St, Eureka, CA 95501 Phone: 707-269-7051 Fax: 707-269-7054 | |
Kathy Sattler, RN , FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2675 Harris St, Eureka, CA 95503 Phone: 707-443-8335 Fax: 707-443-7327 | |
Kabou Xiong, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-269-4250 | |
Marice Thomas, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2675 Harris St, Eureka, CA 95503 Phone: 707-443-8335 Fax: 707-443-7327 | |
Ms. Susan Blankenhorn, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 707-268-2990 |