Talia Rene Clate, FNP-C | |
54165 Pine Crest Ave, Idyllwild, CA 92549 | |
(951) 659-4908 | |
Not Available |
Full Name | Talia Rene Clate |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 54165 Pine Crest Ave, Idyllwild, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528821980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 95109090 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95029178 (California) | Primary |
Entity Name | Vitality Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487087227 PECOS PAC ID: 5193956340 Enrollment ID: O20140401001083 |
Mailing Address | Practice Location Address |
---|---|
Talia Rene Clate, FNP-C 28039 Scott Rd. Ste D, Box 255, Murrieta, CA 92563 Ph: (951) 265-2340 | Talia Rene Clate, FNP-C 54165 Pine Crest Ave, Idyllwild, CA 92549 Ph: (951) 659-4908 |
Natalya Ptashinsky, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 54910 N Circle Drive, Idyllwild, CA 92549 Phone: 917-225-6302 | |
Brenda Scherlis, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 54910 Pine Crest Ave, Idyllwild, CA 92549 Phone: 951-659-9912 Fax: 951-468-4202 |