Shannon Bruey, | |
121 W Maple Ave, Enid, OK 73701-4027 | |
(580) 348-2978 | |
(580) 348-2977 |
Full Name | Shannon Bruey |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 121 W Maple Ave, Enid, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265985717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 96735 (Oklahoma) | Secondary |
363L00000X | Nurse Practitioner | R0096735 (Oklahoma) | Primary |
Entity Name | Williams Medical Group Practice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346608809 PECOS PAC ID: 3375832157 Enrollment ID: O20181228001300 |
Entity Name | Affinity Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710645478 PECOS PAC ID: 7113318742 Enrollment ID: O20211215001580 |
Mailing Address | Practice Location Address |
---|---|
Shannon Bruey, 121 W Maple Ave, Enid, OK 73701-4027 Ph: (580) 348-2978 | Shannon Bruey, 121 W Maple Ave, Enid, OK 73701-4027 Ph: (580) 348-2978 |
Morgan Rose Messenger, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 S Van Buren St, Enid, OK 73703 Phone: 580-234-9355 | |
Mr. David A Ward, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 302 N Independence Street, Suite 600, Enid, OK 73701 Phone: 580-242-1300 Fax: 580-237-7913 | |
Mr. Nathan Veral Hollenbeck, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 S Madison St Ste 209a, Enid, OK 73701 Phone: 580-233-2300 | |
Mrs. Frances Colleen Billings, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 305 S 5th St, Enid, OK 73701 Phone: 580-233-6100 | |
Lora May Vaverka, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 330 S 5th St Ste 500, Enid, OK 73701 Phone: 580-249-5504 Fax: 580-234-5933 | |
Blaire Blankinship, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3201 N Van Buren St Ste 350, Enid, OK 73703 Phone: 580-366-0844 Fax: 580-297-5197 | |
Ms. Gigi Campbell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1517 E Walnut Ave, Enid, OK 73701 Phone: 580-402-5329 |