Mrs Guiselly Astrid Erazo-romero, | |
4180 W 11 Mile Rd, Novi, MI 48375-1818 | |
(240) 469-9972 | |
Not Available |
Full Name | Mrs Guiselly Astrid Erazo-romero |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4180 W 11 Mile Rd, Novi, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528551223 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | R217253 (Maryland) | Secondary |
363LF0000X | Nurse Practitioner - Family | R217153 (Maryland) | Primary |
Entity Name | Malik & Qadir Md Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003979717 PECOS PAC ID: 8224221536 Enrollment ID: O20101019001274 |
Entity Name | Allegeny Medical Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821370644 PECOS PAC ID: 2860631959 Enrollment ID: O20130621000097 |
Entity Name | Openloop Healthcare Partners Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245820661 PECOS PAC ID: 2668871898 Enrollment ID: O20210915002780 |
Entity Name | Tapestry Telehealth Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992215446 PECOS PAC ID: 4789942335 Enrollment ID: O20220705000390 |
Entity Name | Telehealth Solution Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790221299 PECOS PAC ID: 4284902552 Enrollment ID: O20230216000936 |
Mailing Address | Practice Location Address |
---|---|
Mrs Guiselly Astrid Erazo-romero, 17568 Shale Dr, Hagerstown, MD 21740-2044 Ph: (240) 469-9972 | Mrs Guiselly Astrid Erazo-romero, 4180 W 11 Mile Rd, Novi, MI 48375-1818 Ph: (240) 469-9972 |