| Nicole Marie Baisden, | |
|
16939 Sw 134th Ave, Archer, FL 32618-5413 | |
| (352) 265-2550 | |
| (352) 627-4785 |
| Full Name | Nicole Marie Baisden |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 16939 Sw 134th Ave, Archer, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942856315 | NPI | - | NPPES |
| 118033800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN11004012 (Florida) | Primary |
| Entity Name | University Of Florida College Of Nursing Faculty Practice Associati |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578554572 PECOS PAC ID: 9436052586 Enrollment ID: O20040128000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Marie Baisden, 16939 Sw 134th Ave, Archer, FL 32618-5413 Ph: (954) 604-1304 | Nicole Marie Baisden, 16939 Sw 134th Ave, Archer, FL 32618-5413 Ph: (352) 265-2550 |
Ms. Kasey Lin Brandt, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16939 Sw 134th Ave, Archer, FL 32618 Phone: 352-265-2550 | |
Susan Roche, ARNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16939 Sw 134th Ave, Archer, FL 32618 Phone: 352-495-2550 | |
Dr. Kimberly Castillo, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16939 Sw 134th Ave, Archer, FL 32618 Phone: 352-265-2550 Fax: 352-627-4785 | |
Denise M Schentrup, MN, ARNP, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16939 Sw 134th Ave, Archer, FL 32618 Phone: 352-495-2550 Fax: 352-495-3401 | |
Susan D Schaffer, PHD, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16939 Sw 134th Ave, Archer, FL 32618 Phone: 352-495-2550 Fax: 352-495-3401 | |
Brenda Dyal, PHD, DNP APRN FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16939 Sw 134th Ave, Archer, FL 32618 Phone: 352-265-2550 | |
Dr. Lakeshia Cousin, APRN, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16939 Sw 134th Ave, Archer, FL 32618 Phone: 352-265-2550 |