| Ms Lanesha Bracy, NP | |
|
38883 Hwy 299, Willow Creek, CA 95573 | |
| (530) 629-3111 | |
| (530) 629-3122 |
| Full Name | Ms Lanesha Bracy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 38883 Hwy 299, Willow Creek, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447590385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95010412 (California) | Primary |
| 363LF0000X | Nurse Practitioner - Family | AP07155 (Louisiana) | Secondary |
| Entity Name | Franklin Primary Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679532303 PECOS PAC ID: 1658356308 Enrollment ID: O20040618000827 |
| Entity Name | Carehalo Alabama Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467009217 PECOS PAC ID: 6204264740 Enrollment ID: O20200317001626 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lanesha Bracy, NP 670 9th St Ste 203, Arcata, CA 95521-6249 Ph: (707) 826-8633 | Ms Lanesha Bracy, NP 38883 Hwy 299, Willow Creek, CA 95573 Ph: (530) 629-3111 |
Ms. Loretta Rae Mccurtain, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Highway 96, Willow Creek, CA 95573 Phone: 530-629-3116 Fax: 530-629-2866 | |
Linda Ann Gardner, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 38883 Ca Hwy 299, Willow Creek, CA 95573 Phone: 530-629-3111 Fax: 530-629-3122 | |
Amanda Baer James, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 38883 Highway 299, Willow Creek, CA 95573 Phone: 530-529-3111 Fax: 530-529-3122 |