| Serena Proudfoot, FNP-C | |
|
26150 Main St, Ardmore, TN 38449-3158 | |
| (931) 207-9297 | |
| (931) 209-9298 |
| Full Name | Serena Proudfoot |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 26150 Main St, Ardmore, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497417232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 31302 (Tennessee) | Primary |
| 363LF0000X | Nurse Practitioner - Family | F09211477 (Alabama) | Secondary |
| Entity Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
| Entity Name | Celebration Family Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891053823 PECOS PAC ID: 4385883172 Enrollment ID: O20130627000429 |
| Mailing Address | Practice Location Address |
|---|---|
| Serena Proudfoot, FNP-C 26150 Main St, Ardmore, TN 38449-3158 Ph: (931) 207-9297 | Serena Proudfoot, FNP-C 26150 Main St, Ardmore, TN 38449-3158 Ph: (931) 207-9297 |
Deborah Ruth Verbeek, CFNP, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25495 Main St, Ardmore, TN 38449 Phone: 931-427-6969 Fax: 931-427-6967 | |
Nicholas Christofidis, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25495 Main St, Ardmore, TN 38449 Phone: 931-427-6969 Fax: 931-427-6967 | |
Diego Alejandro Cacho-tovar, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26150 Main St, Ardmore, TN 38449 Phone: 931-207-9297 Fax: 931-209-9298 |