| Nichole Anguilm, RDN | |
|
3830 E Van Buren St, Phoenix, AZ 85008-6920 | |
| (602) 243-7277 | |
| (602) 286-0808 |
| Full Name | Nichole Anguilm |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 3830 E Van Buren St, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033569330 | NPI | - | NPPES |
| 173596 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86053094 (Arizona) | Primary |
| 133V00000X | Dietitian, Registered | 86053094 (Michigan) | Secondary |
| Provider Name | Spectrum Health Primary Care Partners |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Nichole Anguilm, RDN 6943 E Earll Dr Apt 6, Scottsdale, AZ 85251-6877 Ph: (231) 670-6772 | Nichole Anguilm, RDN 3830 E Van Buren St, Phoenix, AZ 85008-6920 Ph: (602) 243-7277 |
Mrs. Maria T Escobar, CSP, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 480-440-2787 | |
Jennie Altman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 635 E Baseline Rd, Phoenix, AZ 85042 Phone: 602-243-7277 Fax: 602-243-1235 | |
Mrs. Danielle Lafata, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3509 N 32nd St, Phoenix, AZ 85018 Phone: 480-399-7246 | |
Laura Grace Simmons, MS, RDN, CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2713 W Pecan Rd, Phoenix, AZ 85041 Phone: 253-470-8399 Fax: 866-540-3225 | |
Miss Erika Josephine Barrera, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 16601 N 12th St Apt 1142, Phoenix, AZ 85022 Phone: 520-425-9698 | |
Melanie Shay Colville, MS, RD Dietitian Medicare: Medicare Enrolled Practice Location: 222 W Thomas Rd, Suite 304, Phoenix, AZ 85013 Phone: 602-406-3611 Fax: 602-406-4363 | |
Laura Lee, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 635 E Baseline Rd, Phoenix, AZ 85042 Phone: 602-243-7277 Fax: 602-243-1235 |