Ms Katherine Robin Willems, FNP | |
15230 Lakeshore Dr, Clearlake, CA 95422-8107 | |
(707) 995-4500 | |
Not Available |
Full Name | Ms Katherine Robin Willems |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 15230 Lakeshore Dr, Clearlake, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134393069 | NPI | - | NPPES |
1134393069 | Other | CA | NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 404784-7693 (California) | Primary |
Entity Name | Redwood Coast Medical Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962530725 PECOS PAC ID: 6901941905 Enrollment ID: O20100302000446 |
Mailing Address | Practice Location Address |
---|---|
Ms Katherine Robin Willems, FNP 15230 Lakeshore Dr, Clearlake, CA 95422-8107 Ph: (707) 995-4500 | Ms Katherine Robin Willems, FNP 15230 Lakeshore Dr, Clearlake, CA 95422-8107 Ph: (707) 995-4500 |
Ms. Stephenie Hargrove, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15630 18th Ave, Clearlake, CA 95422 Phone: 707-994-6486 | |
Martina Sara Cordova, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15630 18th Ave, Clearlake, CA 95422 Phone: 707-994-6486 | |
Ann C Larocca, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 | |
Ciaran George Carroll, FNP, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-2400 | |
Mr. Rommel B Gayagoy, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 | |
Prof. Sharon K Larock, CNN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-995-5741 |