Natasha Dawn Bordeaux, | |
Hwy 160 Mp 394.3, Kayenta, AZ 86033 | |
(928) 697-4000 | |
Not Available |
Full Name | Natasha Dawn Bordeaux |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | Hwy 160 Mp 394.3, Kayenta, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639734890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Woodrow Wilson Keeble Memorial Health Care Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366471666 PECOS PAC ID: 1850295940 Enrollment ID: O20031120000810 |
Provider Name | Dulce Health Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750388963 PECOS PAC ID: 7012991839 Enrollment ID: O20040617000747 |
Mailing Address | Practice Location Address |
---|---|
Natasha Dawn Bordeaux, Po Box 915, Kayenta, AZ 86033-0915 Ph: (928) 697-4210 | Natasha Dawn Bordeaux, Hwy 160 Mp 394.3, Kayenta, AZ 86033 Ph: (928) 697-4000 |
Mr. Kwang Kim, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: Kayenta Phs Health Clinic, Hwy 160 And 163, Kayenta, AZ 86033 Phone: 928-697-4000 Fax: 928-697-4145 | |
Ms. Samantha Jean Smith, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: Po Box 368, Kayenta, AZ 86033 Phone: 928-697-4000 Fax: 928-697-4145 |