| Nikki Clatt, FNP-BC | |
|
605c Douglas Dr, Ashland, MO 65010-9088 | |
| (573) 657-9354 | |
| (573) 657-9694 |
| Full Name | Nikki Clatt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 605c Douglas Dr, Ashland, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568101822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2022019748 (Missouri) | Primary |
| Entity Name | Capital Region Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477980837 PECOS PAC ID: 4688573686 Enrollment ID: O20070323000507 |
| Entity Name | The Curators Of The University Of Missouri |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
| Entity Name | Boone Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760893259 PECOS PAC ID: 6507090644 Enrollment ID: O20131003000535 |
| Mailing Address | Practice Location Address |
|---|---|
| Nikki Clatt, FNP-BC 309 Renee Dr, Ashland, MO 65010-1210 Ph: () - | Nikki Clatt, FNP-BC 605c Douglas Dr, Ashland, MO 65010-9088 Ph: (573) 657-9354 |
Ms. Katherine E. Branham, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 504 E Broadway, Suite A, Ashland, MO 65010 Phone: 573-657-7330 Fax: 573-657-1772 | |
Joan Elizabeth Strutz-ozan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16701 S Hawkins Rd, Ashland, MO 65010 Phone: 573-999-0376 |