| Nurturing Insight Llc | |
|
215 Cowboy Way Edgewood NM 87015-9616 | |
| (505) 926-1575 | |
| (505) 629-0521 |
| Full Name | Nurturing Insight Llc |
|---|---|
| Speciality | Social Worker |
| Location | 215 Cowboy Way, Edgewood, New Mexico |
| Authorized Official Name and Position | Kellie Ann Tomlin (OWNER) |
| Authorized Official Contact | 5059261575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nurturing Insight Llc 215 Cowboy Way Edgewood NM 87015-9616 Ph: (505) 926-1575 | Nurturing Insight Llc 215 Cowboy Way Edgewood NM 87015-9616 Ph: (505) 926-1575 |
| NPI Number | 1659870525 |
|---|---|
| Provider Enumeration Date | 02/06/2018 |
| Last Update Date | 02/06/2018 |
| Medicare PECOS PAC ID | 9032462221 |
|---|---|
| Medicare Enrollment ID | O20181106001178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659870525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C-10230 (New Mexico) | Primary |
| Provider Name | Kellie Ann Tomlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396244265 PECOS PAC ID: 1850644048 Enrollment ID: I20181106001314 |
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