Alice Nduku Mwanza, NP | |
3023 S 90th Dr, Tolleson, AZ 85353-5904 | |
(623) 256-0851 | |
Not Available |
Full Name | Alice Nduku Mwanza |
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Gender | Female |
Speciality | Family Medicine |
Location | 3023 S 90th Dr, Tolleson, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982390167 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 290418 (Arizona) | Primary |
Entity Name | Phoenix Health Practitioners Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205525839 PECOS PAC ID: 9830552835 Enrollment ID: O20230823003720 |
Mailing Address | Practice Location Address |
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Alice Nduku Mwanza, NP 3023 S 90th Dr, Tolleson, AZ 85353-5904 Ph: (623) 256-0851 | Alice Nduku Mwanza, NP 3023 S 90th Dr, Tolleson, AZ 85353-5904 Ph: (623) 256-0851 |
Gustavo A Lopez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9169 W Van Buren St, Tolleson, AZ 85353 Phone: 602-283-5732 Fax: 602-314-4579 | |
Dr. Raymond R. Valdivia, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9550 W Van Buren St, Suite 1, Tolleson, AZ 85353 Phone: 623-936-7960 Fax: 623-936-7980 | |
Carmen Guerra Sosa, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9169 W Van Buren St, Tolleson, AZ 85353 Phone: 602-283-5762 |