| Ms Marianne D Moses, ARNP | |
|
2126 Solano St, Corning, CA 96021-2713 | |
| (530) 824-4002 | |
| Not Available |
| Full Name | Ms Marianne D Moses |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2126 Solano St, Corning, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225317290 | NPI | - | NPPES |
| 12273448 | Other | CAQH | |
| 1225317290 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN001322 (Nevada) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95000297 (California) | Primary |
| Entity Name | Ampla Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952333635 PECOS PAC ID: 5092619270 Enrollment ID: O20040225001116 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Marianne D Moses, ARNP 2126 Solano St, Corning, CA 96021-2713 Ph: (530) 824-4002 | Ms Marianne D Moses, ARNP 2126 Solano St, Corning, CA 96021-2713 Ph: (530) 824-4002 |
Ms. Cynthia Barbo, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 706 Peach St, Corning, CA 96021 Phone: 530-891-1676 Fax: 530-891-1833 | |
Logan Charles Walker, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2126 Solano St, Corning, CA 96021 Phone: 530-824-4002 Fax: 530-824-4084 | |
Lyra S Rider, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Solano St, Corning, CA 96021 Phone: 530-824-3283 | |
Mr. Adam Strishak, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 320 Solano St, Corning, CA 96021 Phone: 530-824-3283 |