Angela Constant (NPI# 1508022211, PAC ID# 3779647631) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1508022211 |
| PAC ID by PECOS | 3779647631 |
| Professional Enrollment ID | I20090122000043 |
| Full Name | Angela Constant |
| Organization Legal Name | WT REGIONAL MEDICAL ASSOCIATES |
| Address |
108 W 15th St West Tn Medical Group Primary Care Caruthersville Caruthersville MO 63830-2202 |
| Phone Number | 5733330033 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5698024891 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440072 | DYERSBURG REGIONAL MEDICAL CENTER |
| 260070 | PEMISCOT COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 108 W 15th St, West Tn Medical Group Primary Care Caruthersville, Caruthersville, MO 63830-2202 | 5733330033 | WT REGIONAL MEDICAL ASSOCIATES |
| Organization Legal Name | WT REGIONAL MEDICAL ASSOCIATES |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| April Nicole Walker | Nurse Practitioner | Wt Regional Medical Associates | 108 W 15th St, West Tn Medical Group Primary Care Caruthersville, Caruthersville, MO 63830-2202 |
| Street Address |
108 W 15TH ST WEST TN MEDICAL GROUP PRIMARY CARE CARUTHERSVILLE |
| City | CARUTHERSVILLE |
| State | MO |
| Zip | 63830-2202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| April Nicole Walker | Nurse Practitioner | Wt Regional Medical Associates | 108 W 15th St, West Tn Medical Group Primary Care Caruthersville, Caruthersville, MO 63830-2202 |
| Douglas S Fitzwater | Pediatric Medicine | Dyersburg Clinic Corp | 108 W 15th St, Caruthersville Clinic, Caruthersville, MO 63830-2202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin M Schroeder | Optometry | 400 Ward Ave, Caruthersville, MO 63830-1451 | |
| Allison L Whitener | Optometry | 400 Ward Ave, Caruthersville, MO 63830-1451 | |
| James W Bernard | Family Medicine | Pemiscot County Memorial Hospital | 106 W 12th St, Caruthersville, MO 63830-1890 |
| Lara Huffman | Psychiatry | Pemiscot County Memorial Hospital | 106 W 12th St, Caruthersville, MO 63830-1890 |
| Kristen S Culver | Optometry | T M Swinger and D V Mckillip, Ptr | 101 E 10th St A, Caruthersville, MO 63830-1919 |
| Douglas J Mckillip | Optometry | T M Swinger and D V Mckillip, Ptr | 101 E 10th St A, Caruthersville, MO 63830-1919 |
| Terrence M Swinger | Optometry | T M Swinger and D V Mckillip, Ptr | 101 E 10th St A, Caruthersville, MO 63830-1919 |
| John Okechukwu Nwora | Family Medicine | 1117 Ward Ave, 25 Dr Nworas Medical Clinic, Caruthersville, MO 63830-2622 |
| City | CARUTHERSVILLE |
| Zip Code | 63830 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CARUTHERSVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Angela Constant.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.