| Shannon Rachelle Clint, FNP-C | |
|
287 E Hunt Hwy Ste 105, San Tan Valley, AZ 85143-5096 | |
| (480) 677-8282 | |
| (888) 316-1686 |
| Full Name | Shannon Rachelle Clint |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 287 E Hunt Hwy Ste 105, San Tan Valley, Arizona |
| 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 |
|---|---|---|---|
| 1609638311 | NPI | - | NPPES |
| 204599 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 302489 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stripes Urgent Care Llc | 4082913058 | 7 |
| Chikwendu C Nwosu Md Llc | 5698950178 | 12 |
| Entity Name | The Little Clinic Of Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023216249 PECOS PAC ID: 4981797982 Enrollment ID: O20070907000182 |
| Entity Name | Chikwendu C Nwosu Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508155979 PECOS PAC ID: 5698950178 Enrollment ID: O20110427000205 |
| Entity Name | Prescott Healthcare Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821454505 PECOS PAC ID: 4385940295 Enrollment ID: O20160302001795 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Rachelle Clint, FNP-C 261 N Roosevelt Ave, Chandler, AZ 85226-2617 Ph: (480) 677-8282 | Shannon Rachelle Clint, FNP-C 287 E Hunt Hwy Ste 105, San Tan Valley, AZ 85143-5096 Ph: (480) 677-8282 |
Laura Babb, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 287 E Hunt Hwy, Suite 105, San Tan Valley, AZ 85143 Phone: 480-677-8282 Fax: 480-677-8283 | |
Paige Figa Church, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 E Hunt Hwy Ste 105, San Tan Valley, AZ 85143 Phone: 480-677-8282 Fax: 480-535-0962 | |
Mrs. Debra Ellsworth Mccain, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35945 N Gary Rd, San Tan Valley, AZ 85143 Phone: 480-827-5750 | |
Christina Joyave, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 37100 N Gantzel Rd, San Tan Valley, AZ 85140 Phone: 480-821-3616 | |
John Cruz Ortiz Jr., ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37000 N Gantzel Rd, San Tan Valley, AZ 85140 Phone: 480-394-4000 | |
Tamara M Bulthuis, APRN-RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 916 E Sun Valley Farms Ln, San Tan Valley, AZ 85140 Phone: 919-451-2004 | |
Tara L Luke, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 E Hunt Hwy Ste 105, San Tan Valley, AZ 85143 Phone: 480-677-8282 |