Andrea Grano, CPNP-PC | |
465 Saint Michaels Dr, Santa Fe, NM 87505-7670 | |
(505) 913-4901 | |
(505) 913-6426 |
Full Name | Andrea Grano |
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Gender | Female |
Speciality | Pediatrics |
Location | 465 Saint Michaels Dr, Santa Fe, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386296044 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 56915 (New Mexico) | Primary |
Entity Name | St. Vincent Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578587150 PECOS PAC ID: 6608775135 Enrollment ID: O20040105000372 |
Mailing Address | Practice Location Address |
---|---|
Andrea Grano, CPNP-PC 4485 Golden Eagle Loop Ne, Rio Rancho, NM 87144-7689 Ph: (505) 614-6919 | Andrea Grano, CPNP-PC 465 Saint Michaels Dr, Santa Fe, NM 87505-7670 Ph: (505) 913-4901 |
Dr. Christopher Miles Johnson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1850 Bandelier Court, Santa Fe, NM 87505 Phone: 505-795-3208 | |
Daniel Agee Coles, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 Cerrillos Rd, Santa Fe, NM 87505 Phone: 505-988-9821 | |
Wanicha Buraphacheep-coggins, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2040 S Pacheco St, Nm Doh Family Planning Program, Santa Fe, NM 87505 Phone: 505-476-8870 Fax: 505-476-8898 | |
Dr. Victor Lacerva, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 52 Zambra Way, Santa Fe, NM 87506 Phone: 505-983-4233 | |
Dr. Roberto Thaddeus Araiza, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2025 Galisteo St, Santa Fe, NM 87505 Phone: 505-995-4901 Fax: 505-989-6426 | |
Comfort Bonu, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 455 Saint Michaels Dr, St. Vincent Hospitalist Group, Santa Fe, NM 87505 Phone: 505-989-6130 Fax: 505-820-5408 | |
Dr. Cecilia L Concepcion, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5501 Herrera Dr, Santa Fe, NM 87507 Phone: 505-913-3233 Fax: 505-913-3234 |