| Shannon Marie Setter, NURSE PRACTITIONER | |
|
36 King Eider Ln, Aliso Viejo, CA 92656 | |
| (949) 456-5627 | |
| Not Available |
| Full Name | Shannon Marie Setter |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 36 King Eider Ln, Aliso Viejo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447970793 | NPI | - | NPPES |
| 95022228 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95022228 (California) | Primary |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Entity Name | Anaheim Urgent Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962680033 PECOS PAC ID: 8325118029 Enrollment ID: O20080606000728 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Marie Setter, NURSE PRACTITIONER 36 King Eider Ln, Aliso Viejo, CA 92656-1816 Ph: (949) 456-5627 | Shannon Marie Setter, NURSE PRACTITIONER 36 King Eider Ln, Aliso Viejo, CA 92656 Ph: (949) 456-5627 |
Larissa Todd, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26891 Aliso Creek Rd, Aliso Viejo, CA 92656 Phone: 949-360-4081 | |
Yen Anker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24552 Pacific Park Dr, Aliso Viejo, CA 92656 Phone: 949-565-2377 | |
Lilian Rose Ballentos Gumban-saldana, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24552 Pacific Park Dr, Aliso Viejo, CA 92656 Phone: 949-446-0090 Fax: 949-382-2949 | |
Elizabeth Rodriguez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Journey Ste 210, Aliso Viejo, CA 92656 Phone: 949-305-7122 | |
Jean Michelle Mendiola Mayuga, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26671 Aliso Creek Rd Ste 101, Aliso Viejo, CA 92656 Phone: 949-763-7188 | |
Mary Lou Lao David, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 Bluff Cove Dr, Aliso Viejo, CA 92656 Phone: 949-360-0587 | |
Mrs. Stacy Tse, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Journey Ste 130, Aliso Viejo, CA 92656 Phone: 949-360-1069 Fax: 949-389-8968 |