| Shalesse Gardner, PMHNP-BC | |
|
8383 Wilshire Blvd Ste 202, Beverly Hills, CA 90211-2432 | |
| (855) 501-1004 | |
| (310) 432-7065 |
| Full Name | Shalesse Gardner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 8383 Wilshire Blvd Ste 202, Beverly Hills, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750045712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95015664 (California) | Primary |
| Entity Name | Mellow Medical Inc A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222 |
| Entity Name | The Roads Foundation, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508278359 PECOS PAC ID: 2961722558 Enrollment ID: O20150521002128 |
| Mailing Address | Practice Location Address |
|---|---|
| Shalesse Gardner, PMHNP-BC 3835 N Freeway Blvd Ste 100, Sacramento, CA 95834-1954 Ph: (916) 576-7900 | Shalesse Gardner, PMHNP-BC 8383 Wilshire Blvd Ste 202, Beverly Hills, CA 90211-2432 Ph: (855) 501-1004 |
Serene Obagi, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 270 N Canon Dr Ste 100, Beverly Hills, CA 90210 Phone: 310-275-3030 | |
Rebecca Paula Dorne, DNP PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9012 W Olympic Blvd Ste 200, Beverly Hills, CA 90211 Phone: 323-433-0894 | |
C Green, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 323 N Crescent Dr Unit 5247, Beverly Hills, CA 90210 Phone: 909-333-6573 | |
Mary Bevens Goodman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 N Roxbury Dr, Suite #500, Beverly Hills, CA 90210 Phone: 310-277-2393 | |
Cathi Theresa Nicklas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8767 Wilshire Blvd Fl 3, Beverly Hills, CA 90211 Phone: 424-315-2728 Fax: 424-315-2729 | |
Ms. Kristina K Neagos, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 N Robertson Blvd, Suite 204, Beverly Hills, CA 90211 Phone: 310-659-1300 Fax: 310-659-4300 | |
Olivia Vaughan, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 436 N Bedford Dr Ste 203, Beverly Hills, CA 90210 Phone: 310-550-7747 |