| Shanell Peace, | |
|
905 Tower Rd # 3188, Bristol, PA 19007-3116 | |
| (443) 383-9300 | |
| (855) 866-8710 |
| Full Name | Shanell Peace |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 905 Tower Rd # 3188, Bristol, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538887518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | SP025838 (Pennsylvania) | Primary |
| Entity Name | Consonant Healing Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588122535 PECOS PAC ID: 1254662695 Enrollment ID: O20210511002102 |
| Mailing Address | Practice Location Address |
|---|---|
| Shanell Peace, 909 Ridgebrook Rd Ste 300, Sparks, MD 21152-9477 Ph: (443) 383-9300 | Shanell Peace, 905 Tower Rd # 3188, Bristol, PA 19007-3116 Ph: (443) 383-9300 |
Trinell Copenheaver, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 905 Tower Rd, Bristol, PA 19007 Phone: 443-383-9300 | |
Dustin Michael Cowan, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Rittenhouse Cir Bldg 4, Bristol, PA 19007 Phone: 859-321-3173 | |
Leigh Frangos-li, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Bath Rd, Bristol, PA 19007 Phone: 215-785-9050 | |
Jennifer Huynh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 905 Tower Rd, Bristol, PA 19007 Phone: 215-785-3201 | |
Ms. Iris Stendig-raskin, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Veterans Hwy, Bristol, PA 19007 Phone: 215-785-4594 | |
Lori Talutto, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 Tower Rd, Bristol, PA 19007 Phone: 443-383-9300 | |
Angelica Black, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 905 Tower Rd # 3188, Bristol, PA 19007 Phone: 443-383-9300 |