Molina Care Connections, Llc. | |
200 Oceangate Ste 100 Long Beach CA 90802-4317 | |
(888) 562-5442 | |
(844) 861-1929 |
Full Name | Molina Care Connections, Llc. |
---|---|
Speciality | Nurse Practitioner |
Location | 200 Oceangate Ste 100, Long Beach, California |
Authorized Official Name and Position | Gina Turley (MHI - SVP, CARE CONNECTIONS) |
Authorized Official Contact | 8885625442 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Molina Care Connections, Llc. 200 Oceangate Suite 100 Long Beach CA 90802-4317 Ph: (888) 562-5442 | Molina Care Connections, Llc. 200 Oceangate Ste 100 Long Beach CA 90802-4317 Ph: (888) 562-5442 |
NPI Number | 1407243223 |
---|---|
Provider Enumeration Date | 04/20/2015 |
Last Update Date | 05/14/2024 |
Certification Date | 05/14/2024 |
Medicare PECOS PAC ID | 5799062881 |
---|---|
Medicare Enrollment ID | O20170427000126 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407243223 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
Provider Name | Shana S Oroark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093903270 PECOS PAC ID: 3678657871 Enrollment ID: I20080227000119 |
Provider Name | Jamie A Metcalf-kelly |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619170230 PECOS PAC ID: 6507913498 Enrollment ID: I20090410000106 |
Provider Name | Denise E Young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548477367 PECOS PAC ID: 2264588607 Enrollment ID: I20090925000444 |
Provider Name | Mary Mens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932359718 PECOS PAC ID: 1658417258 Enrollment ID: I20091013000454 |
Provider Name | Sherece N White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619202223 PECOS PAC ID: 4082753611 Enrollment ID: I20091120000184 |
Provider Name | Chau M Tran |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073834636 PECOS PAC ID: 3173793718 Enrollment ID: I20110908002222 |
Provider Name | Tara K Chang |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831358332 PECOS PAC ID: 0749452670 Enrollment ID: I20111018000736 |
Provider Name | Patricia G Fagan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356627996 PECOS PAC ID: 5890962211 Enrollment ID: I20120125000301 |
Provider Name | Charlotte Isah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366883035 PECOS PAC ID: 2466686860 Enrollment ID: I20131017000753 |
Provider Name | Donna Marie Lodge Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154609295 PECOS PAC ID: 4789849670 Enrollment ID: I20140603000720 |
Provider Name | Kimberlin Dixon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285016592 PECOS PAC ID: 7214240233 Enrollment ID: I20150721000325 |
Provider Name | Elisabeth Buchanan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356618748 PECOS PAC ID: 4789828526 Enrollment ID: I20150729009442 |
Provider Name | Julian Alvarez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407242118 PECOS PAC ID: 6305150624 Enrollment ID: I20150730013276 |
Provider Name | Irene M Lomeda |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750583589 PECOS PAC ID: 9032265525 Enrollment ID: I20151207002320 |
Provider Name | Alonda E Crockett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992077713 PECOS PAC ID: 2961662333 Enrollment ID: I20160406001470 |
Provider Name | Adriana Cantu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669835708 PECOS PAC ID: 5092004580 Enrollment ID: I20160524000331 |
Provider Name | Uzma Tanveer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194060061 PECOS PAC ID: 9739470030 Enrollment ID: I20160616000971 |
Provider Name | Tiffany Monique Larnette |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669829560 PECOS PAC ID: 5395037196 Enrollment ID: I20160715000397 |
Provider Name | Monica M Spencer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326112871 PECOS PAC ID: 5092093146 Enrollment ID: I20161025002153 |
Provider Name | Anna Tenorio |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568805877 PECOS PAC ID: 3971870452 Enrollment ID: I20170605002348 |
Provider Name | Euginia Agbatekwe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376065490 PECOS PAC ID: 2961773114 Enrollment ID: I20170807000070 |
Provider Name | Astrik Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861916124 PECOS PAC ID: 2961776083 Enrollment ID: I20170927003523 |
Provider Name | Tracy Stone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689107385 PECOS PAC ID: 8022377225 Enrollment ID: I20180116001333 |
Provider Name | Erica F Moorer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245748474 PECOS PAC ID: 1759643406 Enrollment ID: I20180406002025 |
Provider Name | Jose Valenzuela Jr. |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912400599 PECOS PAC ID: 0042574246 Enrollment ID: I20180515001679 |
Provider Name | Emanuel Roberto Arroyo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629498688 PECOS PAC ID: 0345504510 Enrollment ID: I20180516001672 |
Provider Name | Philomena Cunningham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427547561 PECOS PAC ID: 8628326873 Enrollment ID: I20180803000120 |
Provider Name | Dulce Sofia Cano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275033664 PECOS PAC ID: 2860740560 Enrollment ID: I20180810002309 |
Provider Name | Misturat Adesanya |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700378353 PECOS PAC ID: 2466702113 Enrollment ID: I20180830001856 |
Provider Name | Tawana M Parker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104314327 PECOS PAC ID: 1658619051 Enrollment ID: I20190211000439 |
Provider Name | Sonia M Meza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184189185 PECOS PAC ID: 0941540074 Enrollment ID: I20190327001210 |
Provider Name | Tara G Seifert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093273260 PECOS PAC ID: 0749516391 Enrollment ID: I20190719002197 |
Provider Name | Mike T Le |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538650072 PECOS PAC ID: 9931435310 Enrollment ID: I20190723001737 |
Provider Name | Nicole Cruz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568940328 PECOS PAC ID: 2365772985 Enrollment ID: I20190925001083 |
Provider Name | Marcela Jaoko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932531183 PECOS PAC ID: 4688809668 Enrollment ID: I20191001002125 |
Provider Name | Georgina Gonzalez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275090698 PECOS PAC ID: 8325379241 Enrollment ID: I20191008001198 |
Provider Name | Kathryn A Franklin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689140931 PECOS PAC ID: 4486994779 Enrollment ID: I20191009002063 |
Provider Name | Teresa Callan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841760642 PECOS PAC ID: 3779814413 Enrollment ID: I20191011000330 |
Provider Name | Gabriela Ivette Flores Diaz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124525076 PECOS PAC ID: 0446581730 Enrollment ID: I20191017002784 |
Provider Name | Joely Keen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962925065 PECOS PAC ID: 1658703905 Enrollment ID: I20191107001644 |
Provider Name | Leigh A Dixon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558342360 PECOS PAC ID: 5496705576 Enrollment ID: I20191112000990 |
Provider Name | Ryan Patrick Casey |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902218993 PECOS PAC ID: 6305142969 Enrollment ID: I20191219000131 |
Provider Name | Sonya Wynette Thomas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841348737 PECOS PAC ID: 1658440284 Enrollment ID: I20200221000943 |
Provider Name | Salome M Basebang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346738010 PECOS PAC ID: 7517384738 Enrollment ID: I20200902000102 |
Provider Name | Nina Fakunle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578111340 PECOS PAC ID: 9032538061 Enrollment ID: I20200924001937 |
Provider Name | Ibimina Fiberesima |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831710748 PECOS PAC ID: 1254744865 Enrollment ID: I20201228001516 |
Provider Name | Anabelle Galindo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700421278 PECOS PAC ID: 8527471952 Enrollment ID: I20210104001640 |
Provider Name | Abraham Montez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326635145 PECOS PAC ID: 3870906019 Enrollment ID: I20210108000272 |
Provider Name | Deepa Baral |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457917403 PECOS PAC ID: 7315351822 Enrollment ID: I20210125001434 |
Provider Name | Habibah Faisal Bhombal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548865710 PECOS PAC ID: 0749694016 Enrollment ID: I20210127002588 |
Provider Name | Gerthy Cipus Pierre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083126353 PECOS PAC ID: 8224391495 Enrollment ID: I20210128000517 |
Provider Name | Kellie R King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316554264 PECOS PAC ID: 7315351418 Enrollment ID: I20210202000076 |
Provider Name | Patricia Hasley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497346928 PECOS PAC ID: 0749695278 Enrollment ID: I20210216001384 |
Provider Name | Patricia Castilleja |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316507403 PECOS PAC ID: 7719392828 Enrollment ID: I20210224000560 |
Provider Name | Consuelo Alanis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740873710 PECOS PAC ID: 5799191623 Enrollment ID: I20210301002119 |
Provider Name | Sarah Aroh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629667977 PECOS PAC ID: 1951716893 Enrollment ID: I20210322001492 |
Provider Name | Lindsey Betout |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447789847 PECOS PAC ID: 5496024937 Enrollment ID: I20210405002001 |
Provider Name | Lauren Sabo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467001214 PECOS PAC ID: 8325378904 Enrollment ID: I20210416000136 |
Provider Name | Brandy Nikol Leary |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144604117 PECOS PAC ID: 3476880972 Enrollment ID: I20210422000290 |
Provider Name | Mercedes D. Gutierrez Gil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487149092 PECOS PAC ID: 1254662000 Enrollment ID: I20210422001008 |
Provider Name | Yulienny Cabrera Jimenez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194312561 PECOS PAC ID: 4789092024 Enrollment ID: I20210426001905 |
Provider Name | Brenda D Henson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073116497 PECOS PAC ID: 8022426311 Enrollment ID: I20210427001041 |
Provider Name | Andrew V. Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689233058 PECOS PAC ID: 3971839960 Enrollment ID: I20210503000329 |
Provider Name | Mariana Isabel Pelaez Cardozo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972080141 PECOS PAC ID: 6507275286 Enrollment ID: I20210510001811 |
Provider Name | Liudmila Padron Rodriguez Mena |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942898333 PECOS PAC ID: 4284042953 Enrollment ID: I20210517001023 |
Provider Name | Amy L Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215592183 PECOS PAC ID: 9931442795 Enrollment ID: I20210520000452 |
Provider Name | Richard Rogers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215491915 PECOS PAC ID: 6800126491 Enrollment ID: I20210521000592 |
Provider Name | Shikela Giles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427487412 PECOS PAC ID: 1658502125 Enrollment ID: I20210603001313 |
Provider Name | Chikaodi Priscilla Banor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649768953 PECOS PAC ID: 5193065829 Enrollment ID: I20210604001097 |
Provider Name | Sabine Moss |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457906497 PECOS PAC ID: 4082945910 Enrollment ID: I20210604001757 |
Provider Name | Michelle Villarreal Martinez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851993265 PECOS PAC ID: 9537569660 Enrollment ID: I20210611000640 |
Provider Name | Theresa Lynn Kauth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003211012 PECOS PAC ID: 3476877853 Enrollment ID: I20210614001018 |
Provider Name | Deloris Brannon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497399463 PECOS PAC ID: 7214337054 Enrollment ID: I20210615003019 |
Provider Name | Alejandra Flores |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891395133 PECOS PAC ID: 9638579147 Enrollment ID: I20210621000302 |
Provider Name | Kimberly Haywood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932752136 PECOS PAC ID: 4789915364 Enrollment ID: I20210701002042 |
Provider Name | Zhandra Wright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528217346 PECOS PAC ID: 9931264603 Enrollment ID: I20210713000461 |
Provider Name | Jenise Mitchell-harris |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881954527 PECOS PAC ID: 4183928971 Enrollment ID: I20210719001284 |
Provider Name | Barbara Parrott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336616325 PECOS PAC ID: 6507197530 Enrollment ID: I20210728002253 |
Provider Name | Tera Riddick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437683174 PECOS PAC ID: 2860896610 Enrollment ID: I20210802001974 |
Provider Name | Jocelynne Marquez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982288783 PECOS PAC ID: 9234538430 Enrollment ID: I20210810004111 |
Provider Name | Liliana Martinez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447571146 PECOS PAC ID: 2163694613 Enrollment ID: I20210814000074 |
Provider Name | Paula J Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952757858 PECOS PAC ID: 7719382167 Enrollment ID: I20210823002000 |
Provider Name | Shannon Brooks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639787245 PECOS PAC ID: 7012324650 Enrollment ID: I20210903000019 |
Provider Name | Tara L Greenwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215530217 PECOS PAC ID: 2769897206 Enrollment ID: I20210914003778 |
Provider Name | Jessica Diaz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689119265 PECOS PAC ID: 1254608094 Enrollment ID: I20211018000642 |
Provider Name | Orestes Garcia Alfonso |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801381421 PECOS PAC ID: 1658776406 Enrollment ID: I20211019000998 |
Provider Name | Rasheca Jackson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134773229 PECOS PAC ID: 9638400997 Enrollment ID: I20211101002980 |
Provider Name | Christopher Rogers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730799214 PECOS PAC ID: 7214354190 Enrollment ID: I20211104002985 |
Provider Name | Janine G Larry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164971131 PECOS PAC ID: 8325317621 Enrollment ID: I20211105000083 |
Provider Name | Luis Martija |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306489349 PECOS PAC ID: 7214330398 Enrollment ID: I20211115000975 |
Provider Name | Nakiel Horsley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881273951 PECOS PAC ID: 5193122315 Enrollment ID: I20211123000902 |
Provider Name | Ashleigh Stoneburner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265914980 PECOS PAC ID: 6901159508 Enrollment ID: I20211130000851 |
Provider Name | Clarissa M Lawrence |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194292268 PECOS PAC ID: 7911249719 Enrollment ID: I20220110000215 |
Provider Name | Benjamin Arrowood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376028290 PECOS PAC ID: 4486907722 Enrollment ID: I20220110000627 |
Provider Name | Tiffany E Graphenreed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366936577 PECOS PAC ID: 2264780642 Enrollment ID: I20220221001028 |
Provider Name | Keara Javon Marks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720757628 PECOS PAC ID: 8628475571 Enrollment ID: I20220228000760 |
Provider Name | Claudia Claudio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588307102 PECOS PAC ID: 1052798907 Enrollment ID: I20220513001577 |
Provider Name | Monique Spears |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952945438 PECOS PAC ID: 3173955234 Enrollment ID: I20230103002772 |
Provider Name | Shawna Moyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861088742 PECOS PAC ID: 5294140190 Enrollment ID: I20230202002116 |
Provider Name | Tricia Rosa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275193450 PECOS PAC ID: 2860721735 Enrollment ID: I20230207003393 |
Provider Name | Tomika M Dedeaux |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861957631 PECOS PAC ID: 7618387952 Enrollment ID: I20230209001449 |
Provider Name | Paul Macias |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255032256 PECOS PAC ID: 8123483278 Enrollment ID: I20230425002639 |
Provider Name | Nakita Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073093076 PECOS PAC ID: 5698013118 Enrollment ID: I20230601001320 |
Provider Name | Awa Ndiaye |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629516711 PECOS PAC ID: 2163840976 Enrollment ID: I20230607002322 |
Provider Name | Sandra Molano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629795018 PECOS PAC ID: 8729445549 Enrollment ID: I20230608002757 |
Provider Name | Jessica Ramirez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295416733 PECOS PAC ID: 8022463173 Enrollment ID: I20231010003944 |
Provider Name | Judith Briggs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114391950 PECOS PAC ID: 4789955105 Enrollment ID: I20231205002125 |
Provider Name | Jesus Ismael Irsula Pacheco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932559929 PECOS PAC ID: 2567813587 Enrollment ID: I20240103004294 |
Provider Name | Jesus Rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912622150 PECOS PAC ID: 8628429313 Enrollment ID: I20240106000749 |
Provider Name | Deborah Sullivan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093950420 PECOS PAC ID: 7810034253 Enrollment ID: I20240530004260 |
Provider Name | Charlyne Gabriel-jacques |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154577732 PECOS PAC ID: 4880756212 Enrollment ID: I20240611004658 |
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