| Shu Dong, NP | |
|
12359 Malki Rd, Banning, CA 92220-6974 | |
| (951) 922-2058 | |
| (888) 551-2116 |
| Full Name | Shu Dong |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 12359 Malki Rd, Banning, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376842005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 20192 (California) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 1117425 (Texas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Shu Dong, NP 12359 Malki Rd, Banning, CA 92220-6974 Ph: (951) 922-2058 | Shu Dong, NP 12359 Malki Rd, Banning, CA 92220-6974 Ph: (951) 922-2058 |
Mrs. Marie Antoinette Tanare Lucco, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 264 N Highland Springs Ave, Banning, CA 92220 Phone: 760-413-3755 |
Kevin Simmons, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 264 N Highland Springs Ave Ste 1b, Banning, CA 92220 Phone: 951-769-7191 |
Amy Barber, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 161 W Ramsey St Bldg 2, Banning, CA 92220 Phone: 760-202-0686 |
Monemala Philavong-danh, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 W Ramsey St, Banning, CA 92220 Phone: 951-849-1950 |
Carri Ranie Lakes, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6109 W Ramsey St, Banning, CA 92220 Phone: 951-845-0313 |
Mary Joyce Espinoza, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5957 W Ramsey St, Banning, CA 92220 Phone: 951-845-0313 |
Glen Wiley, APRN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 11555 Potrero Rd, Banning, CA 92220 Phone: 251-849-4761 |