Suzan Hillaire Williams, ANP | |
575 Price Street, Suite 101, Pismo Beach, CA 93449-6955 | |
(805) 773-0707 | |
(805) 773-2051 |
Full Name | Suzan Hillaire Williams |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 575 Price Street, Pismo Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447238894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | RN392618 (California) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | 392618 (California) | Secondary |
Entity Name | Pismo Family Practice Medical Corporation A Ca Prof Medical Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497746473 PECOS PAC ID: 5597709360 Enrollment ID: O20091124000026 |
Mailing Address | Practice Location Address |
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Suzan Hillaire Williams, ANP 575 Price St, Suite 101, Pismo Beach, CA 93449-2553 Ph: (805) 773-0707 | Suzan Hillaire Williams, ANP 575 Price Street, Suite 101, Pismo Beach, CA 93449-6955 Ph: (805) 773-0707 |
Tina Marie Loayza, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-8450 Fax: 805-474-7169 | |
Carolyn Jolly, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-8450 | |
Stephanie Madalyn Yoder, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-8450 | |
Ms. Kendra Joelle James, NP-C, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 James Way, Pismo Beach, CA 93449 Phone: 805-295-6594 | |
Teresa Maria Cordeiro, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 James Way Ste 209, Pismo Beach, CA 93449 Phone: 805-773-7440 | |
Kelly C Jenei, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 James Way, 209, Pismo Beach, CA 93449 Phone: 805-773-7440 Fax: 805-773-7448 | |
Elissa Molfino, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 James Way Ste 214, Pismo Beach, CA 93449 Phone: 805-295-6594 Fax: 805-295-6632 |