| Ms Judy Lane, NP, RN | |
|
25 Mitchell Blvd, Suite 8, San Rafael, CA 94903-2007 | |
| (415) 472-2343 | |
| (415) 472-7636 |
| Full Name | Ms Judy Lane |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 25 Mitchell Blvd, San Rafael, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043420896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 501901 (California) | Primary |
| Entity Name | Preventive Medical Center of Marin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912067828 PECOS PAC ID: 4688734445 Enrollment ID: O20081201000621 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Judy Lane, NP, RN 30 Marin Valley Dr, Novato, CA 94949-6806 Ph: (415) 883-3955 | Ms Judy Lane, NP, RN 25 Mitchell Blvd, Suite 8, San Rafael, CA 94903-2007 Ph: (415) 472-2343 |
Erin Elizabeth Irvin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 880 Las Gallinas Ave Ste 2, San Rafael, CA 94903 Phone: 415-339-8813 |
Melanie Jenkins Austin, NP RN CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3260 Kerner Blvd, San Rafael, CA 94901 Phone: 415-507-4030 Fax: 415-507-2634 |
Marne Anne Burgess, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 N San Pedro Rd, Suite 1020, San Rafael, CA 94903 Phone: 415-473-4306 Fax: 415-473-4307 |
Kate Mcglashan, NP RN CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 361 Third Street, Suite E, San Rafael, CA 94901 Phone: 415-499-4030 Fax: 415-507-2634 |
Carmen Lily Carrouche, RN, CNS, PMH-NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16 Ritter St, San Rafael, CA 94901 Phone: 415-457-8182 Fax: 415-457-3490 |
Ruth Leslie Rogow, NP RN CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3260 Kerner Blvd, Suite E, San Rafael, CA 94901 Phone: 415-473-3730 |
Kim C Salinger, PMHNP, FNP, RN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4040 Civic Center Dr Ste 200, San Rafael, CA 94903 Phone: 415-797-7443 Fax: 415-727-9222 |