| Shannon Cherie Nanaeto, MS, APRN-CNP | |
|
1755 N Highway 66 Ste G, Catoosa, OK 74015-2717 | |
| (918) 260-7631 | |
| Not Available |
| Full Name | Shannon Cherie Nanaeto |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 1755 N Highway 66 Ste G, Catoosa, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730963596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 211952 (Oklahoma) | Primary |
| Entity Name | Tulsa Emergency Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063479087 PECOS PAC ID: 3375442692 Enrollment ID: O20040106000606 |
| Entity Name | Medical Resource Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104056365 PECOS PAC ID: 4082753918 Enrollment ID: O20100830000840 |
| Entity Name | Kavanah Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548807993 PECOS PAC ID: 9032544226 Enrollment ID: O20200116000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Cherie Nanaeto, MS, APRN-CNP 318 Tribute Trl, Chouteau, OK 74337-5000 Ph: (918) 260-7631 | Shannon Cherie Nanaeto, MS, APRN-CNP 1755 N Highway 66 Ste G, Catoosa, OK 74015-2717 Ph: (918) 260-7631 |
Jennifer Danielle Gouge, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2036 S Miller Ln, Catoosa, OK 74015 Phone: 918-739-4552 | |
Mrs. Charlene D Hoover, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5232 N Highway 167, Catoosa, OK 74015 Phone: 918-272-0033 Fax: 918-272-0039 | |
Kelsey Bryden Spencer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 N Highway 66 Ste B, Catoosa, OK 74015 Phone: 918-266-4433 | |
Meagan Kay Meffert, APRN-CNP-,FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1818 N.hwy 66 Ste B, Catoosa, OK 74015 Phone: 918-419-0860 | |
Brandi Suzanne Shell, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2036 S Miller Ln Ste F, Catoosa, OK 74015 Phone: 918-739-4552 |