Tara Misko, FNP-C | |
300 Dawson Commons Cir, Dawsonville, GA 30534-6268 | |
(706) 216-2771 | |
Not Available |
Full Name | Tara Misko |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 300 Dawson Commons Cir, Dawsonville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003690397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | GAA-NP003805 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | APN.0998970-NP (Colorado) | Primary |
Entity Name | Poudre Valley Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
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Tara Misko, FNP-C 4190 Madison Dr, Cumming, GA 30040-5467 Ph: () - | Tara Misko, FNP-C 300 Dawson Commons Cir, Dawsonville, GA 30534-6268 Ph: (706) 216-2771 |
Mrs. Mariana Cota, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 204 Dawson Village Way S, Dawsonville, GA 30534 Phone: 770-268-4360 Fax: 470-251-6066 | |
Traci Slaughter, FNP/C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 378 Perimeter Rd, Dawsonville, GA 30534 Phone: 678-389-6509 | |
Mrs. Christine Ann Milo, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 81 Northside Dawson Dr Ste 100, Dawsonville, GA 30534 Phone: 706-216-6000 | |
Brady Owen Wheeler, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 Overlook Cir, Dawsonville, GA 30534 Phone: 940-231-3714 | |
Dawn Sosebee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 Prominence Ct Ste 200, Dawsonville, GA 30534 Phone: 706-216-3238 Fax: 706-216-5285 | |
Ellison Croft, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6002 Highway 53 E, Dawsonville, GA 30534 Phone: 706-265-8002 Fax: 706-429-0033 |