| Shanna Stivers Dave, APRN-CNP PMHNP-BC | |
|
18 Alexander Ave Unit 1, Bedford, KY 40006-1114 | |
| (502) 255-0222 | |
| (502) 255-0600 |
| Full Name | Shanna Stivers Dave |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 18 Alexander Ave Unit 1, Bedford, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598591075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4027554 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| First You Medical Center Pllc | 4688572464 | 3 |
| Entity Name | First You Medical Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841397056 PECOS PAC ID: 4688572464 Enrollment ID: O20130725000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Shanna Stivers Dave, APRN-CNP PMHNP-BC Po Box 124, Eminence, KY 40019-0124 Ph: (502) 593-0083 | Shanna Stivers Dave, APRN-CNP PMHNP-BC 18 Alexander Ave Unit 1, Bedford, KY 40006-1114 Ph: (502) 255-0222 |
Casey Meyer, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18 Alexander Ave Unit 1, Bedford, KY 40006 Phone: 502-593-0083 Fax: 502-255-0600 | |
Allie Joanne Dickow, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 470 Us-421, Bedford, KY 40006 Phone: 502-255-7732 | |
Meng Zhang, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 Shepherd Ln, Bedford, KY 40006 Phone: 502-255-3244 Fax: 502-255-7844 |