| Ms Darra A Husome, FNP, CNS | |
|
29632 Highway 299 East, Round Mountain, CA 96084 | |
| (530) 337-6243 | |
| Not Available |
| Full Name | Ms Darra A Husome |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 29632 Highway 299 East, Round Mountain, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952444986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 516365 (California) | Primary |
| Entity Name | Open Door Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497840656 PECOS PAC ID: 9436067485 Enrollment ID: O20040414000890 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Darra A Husome, FNP, CNS 21445 Chipmunk Ln, Redding, CA 96003-8799 Ph: (530) 549-5778 | Ms Darra A Husome, FNP, CNS 29632 Highway 299 East, Round Mountain, CA 96084 Ph: (530) 337-6243 |
Mrs. Happy Star Shaw, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29632 Hwy 299 E, Round Mountain, CA 96084 Phone: 530-337-6243 Fax: 530-337-6655 | |
Mr. Asa Mark Calkins, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29632 Highway 299 East, Round Mountain, CA 96084 Phone: 530-337-6243 Fax: 530-337-6655 | |
Shaelah Ellen Lewis, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29632 Highway 299 East, Round Mountain, CA 96084 Phone: 530-337-5762 |