| Tanya Llanque, | |
|
6901 S 84th St, La Vista, NE 68128-2127 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Tanya Llanque |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 6901 S 84th St, La Vista, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619364742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 111778 (Nebraska) | Primary |
| Entity Name | Northwest Iowa Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215962550 PECOS PAC ID: 0749198026 Enrollment ID: O20040217000619 |
| Entity Name | Community Care Health Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210324001310 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanya Llanque, 6901 S 84th St, La Vista, NE 68128-2127 Ph: () - | Tanya Llanque, 6901 S 84th St, La Vista, NE 68128-2127 Ph: (866) 389-2727 |
Roni L Pinkerton, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12702 Westport Pkwy, Suite 101, La Vista, NE 68138 Phone: 402-502-5525 Fax: 402-343-1330 | |
Jackie L Kuchta, DNP FNP-C BC-ADM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6901 S 84th St, La Vista, NE 68128 Phone: 866-389-2727 | |
Margaret Messersmith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6901 S 84th St, La Vista, NE 68128 Phone: 402-339-1090 | |
Mrs. Jill Marie Brown, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6901 S 84th St, La Vista, NE 68128 Phone: 402-339-1090 | |
Abbie L Ketcham, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8248 S 96th St, La Vista, NE 68128 Phone: 402-717-9500 | |
Dr. Kathryn Anderson, DNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6901 S 84th St, La Vista, NE 68128 Phone: 402-339-1090 Fax: 402-339-1020 | |
Rachel Stutheit, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6901 S 84th St, La Vista, NE 68128 Phone: 402-339-1090 |