| Shawn Elliott Kratofil, MSN, FNP-C | |
|
25650 Huron St, Loma Linda, CA 92354-3703 | |
| (760) 887-4842 | |
| Not Available |
| Full Name | Shawn Elliott Kratofil |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 25650 Huron St, Loma Linda, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780448803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95028814 (California) | Primary |
| Entity Name | Vituity Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124884176 PECOS PAC ID: 0749620888 Enrollment ID: O20240506004038 |
| Entity Name | Vituity Healthcare Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700642758 PECOS PAC ID: 2668812710 Enrollment ID: O20240506004466 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Elliott Kratofil, MSN, FNP-C 25650 Huron St, Loma Linda, CA 92354-3703 Ph: (760) 887-4842 | Shawn Elliott Kratofil, MSN, FNP-C 25650 Huron St, Loma Linda, CA 92354-3703 Ph: (760) 887-4842 |
Holly Cornejo, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Mrs. Kenya Neoko Singleton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton Street, Loma Linda, CA 92357 Phone: 909-825-7084 Fax: 909-777-3874 | |
Miss Christine Eunice Kurunathan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11034 Veach St, Loma Linda, CA 92354 Phone: 909-825-7084 Fax: 909-777-3291 | |
Krista Smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Kristina Pulliam Markey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson Strreet, Loma Linda, CA 92354 Phone: 909-558-5967 | |
Lauren Trajano, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8000 | |
Frances Rowena Mccann, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8514 |