| Morning Light Wellness | |
|
3055 N 1st Ave Tucson AZ 85719-2512 | |
| (520) 326-8953 | |
| Not Available |
| Full Name | Morning Light Wellness |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3055 N 1st Ave, Tucson, Arizona |
| Authorized Official Name and Position | Jimmy Nealy (OWNER) |
| Authorized Official Contact | 9106407602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Morning Light Wellness 2919 East 22nd St Tucson AZ 85713-2001 Ph: (520) 326-8953 | Morning Light Wellness 3055 N 1st Ave Tucson AZ 85719-2512 Ph: (520) 326-8953 |
| NPI Number | 1497913883 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 04/21/2020 |
| Certification Date | 04/21/2020 |
| Medicare PECOS PAC ID | 2860747425 |
|---|---|
| Medicare Enrollment ID | O20180622000447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497913883 | NPI | - | NPPES |
| Provider Name | Daniel K Defrank |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154442937 PECOS PAC ID: 3375600646 Enrollment ID: I20090401000214 |
| Provider Name | Angela D Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982029351 PECOS PAC ID: 4183847346 Enrollment ID: I20140516000648 |
| Provider Name | Kelechi U Ogbuji |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720336159 PECOS PAC ID: 0941590178 Enrollment ID: I20171219003181 |
| Provider Name | Carline Desir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619537156 PECOS PAC ID: 1456788090 Enrollment ID: I20200220002923 |
| Provider Name | Tabitha M World |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760076442 PECOS PAC ID: 5294143111 Enrollment ID: I20210414001025 |
| Provider Name | Margo Seymour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194248443 PECOS PAC ID: 2668801796 Enrollment ID: I20211208002664 |
| Provider Name | Austin Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255840492 PECOS PAC ID: 5092131631 Enrollment ID: I20220822000862 |
| Provider Name | Tonie Buttrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437255148 PECOS PAC ID: 7810373412 Enrollment ID: I20221005002439 |
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