| Tanya Sara Anne Temple, ARNP | |
|
906 Park Ave, Orange Park, FL 32073-4120 | |
| (904) 541-0315 | |
| (904) 541-0316 |
| Full Name | Tanya Sara Anne Temple |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 906 Park Ave, Orange Park, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336536804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 9285703 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | 9285703 (Florida) | Primary |
| Entity Name | Mobile Visiting Practitioners, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265915359 PECOS PAC ID: 7810239100 Enrollment ID: O20190507002879 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanya Sara Anne Temple, ARNP 906 Park Avenue, Orange Park, FL 32073-1413 Ph: (904) 541-0315 | Tanya Sara Anne Temple, ARNP 906 Park Ave, Orange Park, FL 32073-4120 Ph: (904) 541-0315 |
Diana Lynn Bridges, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-8500 | |
Ms. Shara Lanecia Mcphall, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073 Phone: 239-223-2751 | |
Benjamin A Debski, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1996 Kingsley Ave, Orange Park, FL 32073 Phone: 904-276-5700 Fax: 904-272-1474 | |
Amonae Danyel Russell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Mistwood Ct, Orange Park, FL 32065 Phone: 803-830-0541 | |
Heather Michelle Wade, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 421 Kingsley Ave Ste 300, Orange Park, FL 32073 Phone: 904-621-0643 Fax: 904-621-0644 | |
Gregg Steven Halverson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073 Phone: 904-458-7780 | |
Erica Waters, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1279 Kingsley Ave Ste 102, Orange Park, FL 32073 Phone: 904-604-9914 Fax: 629-600-6769 |