| Oasis Wellness Llc | |
|
6243 Bryce Canyon Lane Ne Rio Rancho NM 87144 | |
| (888) 550-8755 | |
| Not Available |
| Full Name | Oasis Wellness Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 6243 Bryce Canyon Lane Ne, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Nadine Jenson (OWNER) |
| Authorized Official Contact | 8054026214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis Wellness Llc 4300 Ridgecrest Dr Se Ste L Rio Rancho NM 87124-5912 Ph: (888) 550-8755 | Oasis Wellness Llc 6243 Bryce Canyon Lane Ne Rio Rancho NM 87144 Ph: (888) 550-8755 |
| NPI Number | 1073361341 |
|---|---|
| Provider Enumeration Date | 05/10/2024 |
| Last Update Date | 12/24/2024 |
| Certification Date | 12/16/2024 |
| Medicare PECOS PAC ID | 3577008143 |
|---|---|
| Medicare Enrollment ID | O20240709000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073361341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Nadine Jenson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952053738 PECOS PAC ID: 5799222899 Enrollment ID: I20240807002722 |
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