| Santiana Vanmaldeghem, | |
|
1001 S Perry St Ste 104b, Castle Rock, CO 80104-1950 | |
| (720) 485-3178 | |
| (720) 414-0006 |
| Full Name | Santiana Vanmaldeghem |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1001 S Perry St Ste 104b, Castle Rock, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114313673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0187079 (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APN.0992794-NP (Colorado) | Primary |
| Entity Name | Heartlight Family Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639529738 PECOS PAC ID: 5597046219 Enrollment ID: O20170111001257 |
| Mailing Address | Practice Location Address |
|---|---|
| Santiana Vanmaldeghem, 1001 S Perry St Ste 104b, Castle Rock, CO 80104-1950 Ph: (720) 485-3178 | Santiana Vanmaldeghem, 1001 S Perry St Ste 104b, Castle Rock, CO 80104-1950 Ph: (720) 485-3178 |
Nathaniel Civili, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1151 Aloha St, Ste 100, Castle Rock, CO 80108 Phone: 720-330-1305 Fax: 720-452-2079 | |
Ms. Jennifer Lynn Holcomb, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109 Phone: 720-330-1460 Fax: 780-703-9028 | |
Alicia Wesbrook, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4350 Limelight Ave Ste 100, Castle Rock, CO 80109 Phone: 720-455-3775 | |
Lisa Farzad, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5544 Promenade Pkwy, Castle Rock, CO 80108 Phone: 303-562-9157 Fax: 303-562-9161 | |
Ndidi Constance Onyema, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 753 Maleta Ln Ste 204, Castle Rock, CO 80108 Phone: 303-993-6071 Fax: 720-358-5906 | |
Rachel Evans, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4646 N Wildflowers Way, Castle Rock, CO 80109 Phone: 720-243-9287 | |
April Chamberlin, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 753 Maleta Ln Ste 203, Castle Rock, CO 80108 Phone: 303-993-6071 Fax: 720-667-2997 |