| Heart Wing, Llc | |
|
2724 Alamosa Drive Santa Fe NM 87505 | |
| (512) 228-8029 | |
| Not Available |
| Full Name | Heart Wing, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2724 Alamosa Drive, Santa Fe, New Mexico |
| Authorized Official Name and Position | Kirsten Stevens Wing (OWNER) |
| Authorized Official Contact | 5122288029 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Wing, Llc 2724 Alamosa Dr Santa Fe NM 87505-5234 Ph: (512) 228-8029 | Heart Wing, Llc 2724 Alamosa Drive Santa Fe NM 87505 Ph: (512) 228-8029 |
| NPI Number | 1154812782 |
|---|---|
| Provider Enumeration Date | 05/18/2018 |
| Last Update Date | 05/18/2018 |
| Medicare PECOS PAC ID | 9436405222 |
|---|---|
| Medicare Enrollment ID | O20180710000689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154812782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kirsten Stevens Wing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942639646 PECOS PAC ID: 0345596136 Enrollment ID: I20180711000555 |
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