| Mrs Sheryl Allene Goularte, MSN, PMHNP-BC | |
|
18232 Smoke St, Jamestown, CA 95327-9218 | |
| (209) 984-4820 | |
| (209) 984-9240 |
| Full Name | Mrs Sheryl Allene Goularte |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 18232 Smoke St, Jamestown, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073379251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95030148 (California) | Primary |
| 363L00000X | Nurse Practitioner | 95030148 (California) | Secondary |
| Entity Name | Mathiesen Memorial Health Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255595484 PECOS PAC ID: 1759429814 Enrollment ID: O20091110000350 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sheryl Allene Goularte, MSN, PMHNP-BC 501 San Benito St Ste 201, Hollister, CA 95023-3903 Ph: (831) 801-6361 | Mrs Sheryl Allene Goularte, MSN, PMHNP-BC 18232 Smoke St, Jamestown, CA 95327-9218 Ph: (209) 984-4820 |
Gina M Valente-moore, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18144 Seco St, Jamestown, CA 95327 Phone: 209-984-4820 Fax: 209-984-4825 | |
Theresa Lynn Sales, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18144 Seco St, Jamestown, CA 95327 Phone: 209-984-4820 Fax: 209-984-4825 | |
Ann Radford, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18144 Seco St, Jamestown, CA 95327 Phone: 209-984-4820 Fax: 209-984-4825 | |
Mrs. Melissa Ann Ronneburg, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18144 Seco St, Jamestown, CA 95327 Phone: 209-984-4820 Fax: 209-984-4825 |