| Nicole Chiaranon Chan, | |
|
683 Lomas Santa Fe Dr, Solana Beach, CA 92075-1412 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Nicole Chiaranon Chan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 683 Lomas Santa Fe Dr, Solana Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841027208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95030507 (California) | Primary |
| Entity Name | Minuteclinic Diagnostic Medical Group Of California Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033309372 PECOS PAC ID: 8224191374 Enrollment ID: O20090115000289 |
| Entity Name | Minuteclinic Diagnostic Medical Group Of Orange County Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104013879 PECOS PAC ID: 5991868929 Enrollment ID: O20090116000214 |
| Entity Name | Minuteclinic Diagnostic Medical Group Of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568659233 PECOS PAC ID: 2567520414 Enrollment ID: O20090127000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Chiaranon Chan, 683 Lomas Santa Fe Dr, Solana Beach, CA 92075-1412 Ph: () - | Nicole Chiaranon Chan, 683 Lomas Santa Fe Dr, Solana Beach, CA 92075-1412 Ph: (866) 389-2727 |
Kathryn Leyrer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 665 San Rodolfo Dr Ste 110, Solana Beach, CA 92075 Phone: 858-554-1212 Fax: 858-795-1195 | |
Jeffrey Alan Iverson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 773 Academy Dr, Solana Beach, CA 92075 Phone: 951-323-6463 | |
Dennel R Wildey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 683 Lomas Santa Fe Dr, Solana Beach, CA 92075 Phone: 858-755-6697 | |
Mrs. Michelle Catherine D'amato, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 380 Stevens Ave, Solana Beach, CA 92075 Phone: 858-554-9800 | |
Jessica Marie Genoble, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 683 Lomas Santa Fe Dr, Solana Beach, CA 92075 Phone: 858-755-6697 | |
Jennifer Crane, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 683 Lomas Santa Fe Dr, Solana Beach, CA 92075 Phone: 858-755-6697 | |
Nicole Schott, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 440 Stevens Ave, Suite 200, Solana Beach, CA 92075 Phone: 888-660-4425 |