Vincella Smith, NURSE PRACTITIONER | |
21877 Euclid Ave, Euclid, OH 44117-1515 | |
(216) 633-6104 | |
Not Available |
Full Name | Vincella Smith |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 21877 Euclid Ave, Euclid, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1922716729 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN.411942 (Ohio) | Secondary |
363L00000X | Nurse Practitioner | RN240873 (Georgia) | Primary |
Entity Name | Peachtree Immediate Care Fp, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
Mailing Address | Practice Location Address |
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Vincella Smith, NURSE PRACTITIONER 21877 Euclid Ave, Euclid, OH 44117-1515 Ph: (216) 633-6104 | Vincella Smith, NURSE PRACTITIONER 21877 Euclid Ave, Euclid, OH 44117-1515 Ph: (216) 633-6104 |
Ms. Leah Rebbeca Stallworth, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19530 Euclid Ave, Euclid, OH 44117 Phone: 216-243-5589 | |
Allan Ehrenreich, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18901 Lake Shore Blvd, Euclid, OH 44119 Phone: 216-692-8823 | |
Mrs. Sheena S Killings, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1871 E 225th St, Euclid, OH 44117 Phone: 216-534-9145 | |
Sydney Angelina Cira, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 99 Northline Cir Ste 215, Euclid, OH 44119 Phone: 216-692-9525 Fax: 216-427-9054 | |
Loretta Latsnic, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24701 Euclid Ave, Euclid, OH 44117 Phone: 440-829-2249 | |
Terri D Pierson, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18901 Lake Shore Blvd, Euclid, OH 44119 Phone: 216-531-9000 | |
Rosemarie S Zalar, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18901 Lake Shore Blvd, Euclid, OH 44119 Phone: 216-531-9000 |