Openloop Healthcare Partners Colorado, Pc | |
7700 E Arapahoe Rd Ste 220 Centennial CO 80112-1268 | |
(515) 216-0962 | |
Not Available |
Full Name | Openloop Healthcare Partners Colorado, Pc |
---|---|
Speciality | General Practice |
Location | 7700 E Arapahoe Rd Ste 220, Centennial, Colorado |
Authorized Official Name and Position | Jamie Terrero (SR DIRECTOR PROVIDER DATA MNGMT) |
Authorized Official Contact | 2016675568 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Openloop Healthcare Partners Colorado, Pc 317 6th Ave Ste 400 Des Moines IA 50309-4108 Ph: (515) 216-0962 | Openloop Healthcare Partners Colorado, Pc 7700 E Arapahoe Rd Ste 220 Centennial CO 80112-1268 Ph: (515) 216-0962 |
NPI Number | 1912678012 |
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Provider Enumeration Date | 09/28/2021 |
Last Update Date | 11/21/2023 |
Certification Date | 11/21/2023 |
Medicare PECOS PAC ID | 4789064668 |
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Medicare Enrollment ID | O20220709000064 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912678012 | NPI | - | NPPES |
Provider Name | Cassie Gifford |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881970622 PECOS PAC ID: 5597930636 Enrollment ID: I20150313000165 |
Provider Name | Jordan Connelly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245832328 PECOS PAC ID: 8527479054 Enrollment ID: I20201204000567 |
Provider Name | Dina Whiteaker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578841490 PECOS PAC ID: 5294953576 Enrollment ID: I20220607002550 |
Provider Name | Tiffany S Coffman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528207917 PECOS PAC ID: 4284782327 Enrollment ID: I20220718001254 |
Provider Name | Michael A Webster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144823162 PECOS PAC ID: 9931508959 Enrollment ID: I20220726003716 |
Provider Name | Shadae L Mcmillan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285186452 PECOS PAC ID: 3678849007 Enrollment ID: I20220801001780 |
Provider Name | Rachel Nejem |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992045462 PECOS PAC ID: 2365768595 Enrollment ID: I20220815000896 |
Provider Name | Irene R Wolf |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023443173 PECOS PAC ID: 3173758034 Enrollment ID: I20220815003593 |
Provider Name | Lane Salazar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821419094 PECOS PAC ID: 7214228469 Enrollment ID: I20220819000937 |
Provider Name | David Enoch Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922302140 PECOS PAC ID: 3577743152 Enrollment ID: I20220825003181 |
Provider Name | Fletcher Schubert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083162903 PECOS PAC ID: 9436434503 Enrollment ID: I20220826003153 |
Provider Name | Andrea S Abbott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588003842 PECOS PAC ID: 9032168174 Enrollment ID: I20220827000100 |
Provider Name | Stephanie Brignardello |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1225614282 PECOS PAC ID: 6204214893 Enrollment ID: I20220829002520 |
Provider Name | Nicole Baldwin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093282600 PECOS PAC ID: 8123281466 Enrollment ID: I20220830004272 |
Provider Name | Hattie Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548887698 PECOS PAC ID: 4385028620 Enrollment ID: I20220912001869 |
Provider Name | Chet Tharpe |
---|---|
Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1053541581 PECOS PAC ID: 7416106216 Enrollment ID: I20220920003137 |
Provider Name | Kayla Mardaga |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093245532 PECOS PAC ID: 8426321449 Enrollment ID: I20220924000077 |
Provider Name | Kara Dougherty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053330324 PECOS PAC ID: 3072503150 Enrollment ID: I20220930002772 |
Provider Name | Casey Lee Hicks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225573249 PECOS PAC ID: 6204118029 Enrollment ID: I20221013003544 |
Provider Name | Rhonda R. Honeycutt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164850798 PECOS PAC ID: 4082841952 Enrollment ID: I20221019000718 |
Provider Name | Haley C Pace |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174033765 PECOS PAC ID: 8224304951 Enrollment ID: I20221019001507 |
Provider Name | Alyssa Hall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477138261 PECOS PAC ID: 5991171159 Enrollment ID: I20221021000743 |
Provider Name | Wasim Mansour |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649627696 PECOS PAC ID: 0547593667 Enrollment ID: I20221024001340 |
Provider Name | Harmony Vance |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295293173 PECOS PAC ID: 9436481819 Enrollment ID: I20221031001334 |
Provider Name | Nika Nakia |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467622712 PECOS PAC ID: 0345394367 Enrollment ID: I20221108002587 |
Provider Name | April Madu |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629206529 PECOS PAC ID: 4587810460 Enrollment ID: I20230127001677 |
Provider Name | Vanessa Vergara |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780127720 PECOS PAC ID: 1850674276 Enrollment ID: I20230130000227 |
Provider Name | Heidi Hazelton Morrison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518921949 PECOS PAC ID: 5698672798 Enrollment ID: I20230131000994 |
Provider Name | Wesley Nahm |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1720009590 PECOS PAC ID: 7113906561 Enrollment ID: I20230131002102 |
Provider Name | Idrees Mohiuddin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518372713 PECOS PAC ID: 3274752464 Enrollment ID: I20230203000556 |
Provider Name | Guiselly Erazo-romero |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528551223 PECOS PAC ID: 2365794088 Enrollment ID: I20230207002966 |
Provider Name | Andrew Blake Zimmerman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871883462 PECOS PAC ID: 4486876505 Enrollment ID: I20230209002280 |
Provider Name | Whitney Franklin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134628159 PECOS PAC ID: 9537415567 Enrollment ID: I20230221001111 |
Provider Name | Laura Purdy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20230307001800 |
Provider Name | Ryan Snyder |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1720371537 PECOS PAC ID: 2163646829 Enrollment ID: I20230311000318 |
Provider Name | Holly Cresswell Lunsford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891043105 PECOS PAC ID: 1456500909 Enrollment ID: I20230314003225 |
Provider Name | James John Teet |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740576925 PECOS PAC ID: 8729204730 Enrollment ID: I20230411002274 |
Provider Name | Leo Damasco |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1134326366 PECOS PAC ID: 2264738053 Enrollment ID: I20230414000629 |
Provider Name | Aeron Clason |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1457821035 PECOS PAC ID: 6204179484 Enrollment ID: I20230417001170 |
Provider Name | Stacey Nolan Giesie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902208978 PECOS PAC ID: 0749507440 Enrollment ID: I20230426002549 |
Provider Name | Trissy Chun |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1295924140 PECOS PAC ID: 2769521715 Enrollment ID: I20230426002801 |
Provider Name | Waiki V Cora |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1356513865 PECOS PAC ID: 3476631417 Enrollment ID: I20230502000381 |
Provider Name | Bhavesh Patel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831534957 PECOS PAC ID: 8224351549 Enrollment ID: I20230505002219 |
Provider Name | Karin Evans |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1881964476 PECOS PAC ID: 9133505084 Enrollment ID: I20230509003181 |
Provider Name | Kei Kikuhara |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1164719506 PECOS PAC ID: 9032330493 Enrollment ID: I20230511003568 |
Provider Name | Callie Yvonne Miller |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1225562002 PECOS PAC ID: 1557623899 Enrollment ID: I20230516000948 |
Provider Name | Chere Elizabeth Mccormick |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346341724 PECOS PAC ID: 0345285383 Enrollment ID: I20230516001666 |
Provider Name | Kim Meeuwsen |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1497483622 PECOS PAC ID: 3072999416 Enrollment ID: I20230516002644 |
Provider Name | Rosa Lourdes Becerra Soberon |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1679650592 PECOS PAC ID: 5799110581 Enrollment ID: I20230516002875 |
Provider Name | Michelle Rodgers |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1255754602 PECOS PAC ID: 5799193942 Enrollment ID: I20230516003381 |
Provider Name | Manjushree Karkare |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1649437948 PECOS PAC ID: 4880023811 Enrollment ID: I20230517000058 |
Provider Name | Gerri L Davis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235276833 PECOS PAC ID: 9638123516 Enrollment ID: I20230517000531 |
Provider Name | Julie Ann Negron |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1457067621 PECOS PAC ID: 0244695450 Enrollment ID: I20230517003502 |
Provider Name | Natalie Patric Carroll |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1831735380 PECOS PAC ID: 6608201470 Enrollment ID: I20230518001703 |
Provider Name | Mikelanne Phaneuf |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1306157821 PECOS PAC ID: 8527250745 Enrollment ID: I20230523000129 |
Provider Name | Lena Bakovic |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1588951214 PECOS PAC ID: 0143685149 Enrollment ID: I20230525001490 |
Provider Name | Ann Mckenna |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1144972670 PECOS PAC ID: 3274908314 Enrollment ID: I20230526001916 |
Provider Name | Ricia Taylor |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1134502198 PECOS PAC ID: 8123493111 Enrollment ID: I20230529000159 |
Provider Name | Naheed Rizvi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992817662 PECOS PAC ID: 1052306065 Enrollment ID: I20230530002924 |
Provider Name | Rachel Coury |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1174123962 PECOS PAC ID: 4688069370 Enrollment ID: I20230602000927 |
Provider Name | Deborah Stegman |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1245604511 PECOS PAC ID: 7214394733 Enrollment ID: I20230602001595 |
Provider Name | Angela Konegni |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1912635368 PECOS PAC ID: 1759747348 Enrollment ID: I20230606001284 |
Provider Name | Mariam Mohamed Basma |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1073575239 PECOS PAC ID: 2668463621 Enrollment ID: I20230606001922 |
Provider Name | Stacy Laffin |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1861675175 PECOS PAC ID: 8224372065 Enrollment ID: I20230606002205 |
Provider Name | Catalina Ruz Gatica |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1932785201 PECOS PAC ID: 2567837321 Enrollment ID: I20230608003065 |
Provider Name | Joanne Tippin |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1760443964 PECOS PAC ID: 3072509298 Enrollment ID: I20230609002453 |
Provider Name | Andrea Soares |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1659090967 PECOS PAC ID: 6800252420 Enrollment ID: I20230612003276 |
Provider Name | Jennifer Najor |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1518589639 PECOS PAC ID: 7517324528 Enrollment ID: I20230613003759 |
Provider Name | Kimberly Collins |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1760805436 PECOS PAC ID: 6800027632 Enrollment ID: I20230615001062 |
Provider Name | Amanda Carlile |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154554434 PECOS PAC ID: 2062538598 Enrollment ID: I20230615003042 |
Provider Name | Andrea D. Goodwin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285616870 PECOS PAC ID: 8325933211 Enrollment ID: I20230622001331 |
Provider Name | Antonio Abreu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700246972 PECOS PAC ID: 6608122650 Enrollment ID: I20230626001096 |
Provider Name | Megan Lynnell Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528442977 PECOS PAC ID: 1456667005 Enrollment ID: I20230626003316 |
Provider Name | Rita Deattrea Beckford |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538127360 PECOS PAC ID: 7012928518 Enrollment ID: I20230629001859 |
Provider Name | Deanna Jade Cason |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295126381 PECOS PAC ID: 9335466739 Enrollment ID: I20230630000163 |
Provider Name | Lori Fauquier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225232952 PECOS PAC ID: 5193048437 Enrollment ID: I20230724002021 |
Provider Name | Rebecca Ciccone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346547007 PECOS PAC ID: 7911182449 Enrollment ID: I20230724003559 |
Provider Name | Kimberli Mae Hastings |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942850862 PECOS PAC ID: 0042642027 Enrollment ID: I20230726000561 |
Provider Name | Kristine Groemping |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093467854 PECOS PAC ID: 8022478171 Enrollment ID: I20230726000572 |
Provider Name | Barbara L Grubbs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497903801 PECOS PAC ID: 7416025796 Enrollment ID: I20230726000639 |
Provider Name | Dolly Rebecca Denson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134436983 PECOS PAC ID: 3476679697 Enrollment ID: I20230810004531 |
Provider Name | Elisheva Reese |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528422441 PECOS PAC ID: 0648569913 Enrollment ID: I20230822000287 |
Provider Name | Dawda Kinshasa Bolton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760639926 PECOS PAC ID: 0446392286 Enrollment ID: I20230824001149 |
Provider Name | Cora Marie Reynolds |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639586399 PECOS PAC ID: 2163644055 Enrollment ID: I20230825003353 |
Provider Name | Patrick Curry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265042147 PECOS PAC ID: 8729498985 Enrollment ID: I20230830002127 |
Provider Name | Christopher Lee Walker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871985564 PECOS PAC ID: 5698096360 Enrollment ID: I20230906003868 |
Provider Name | Nekia Geneva Jackson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821606658 PECOS PAC ID: 1254741689 Enrollment ID: I20230907002030 |
Provider Name | Meredith Brooke Bilsky |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1730683764 PECOS PAC ID: 3274896105 Enrollment ID: I20230912003472 |
Provider Name | Scott Jensen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033106497 PECOS PAC ID: 5799702015 Enrollment ID: I20230918001558 |
Provider Name | Kimberly A Wohlwend |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952650608 PECOS PAC ID: 1052566593 Enrollment ID: I20230920001698 |
Provider Name | Samantha Anne Wannos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770080046 PECOS PAC ID: 6204184047 Enrollment ID: I20230921003669 |
Provider Name | Timothy J Rupp |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1497766166 PECOS PAC ID: 8325007479 Enrollment ID: I20230922001391 |
Provider Name | Timothy Michael Scott |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1346555240 PECOS PAC ID: 1052549508 Enrollment ID: I20230925001947 |
Provider Name | Kelli Renee White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538304266 PECOS PAC ID: 8729269998 Enrollment ID: I20230927001794 |
Provider Name | Hallie Rae Schnell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710531389 PECOS PAC ID: 0547693806 Enrollment ID: I20230929000094 |
Provider Name | Jie Liu |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780066472 PECOS PAC ID: 2264787878 Enrollment ID: I20230930000366 |
Provider Name | Lillian Nagi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063851442 PECOS PAC ID: 0648594929 Enrollment ID: I20231005001667 |
Provider Name | Yana Nicole Blaise |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083859789 PECOS PAC ID: 5991835894 Enrollment ID: I20231006001540 |
Provider Name | Kairul Steven Lehardi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972970861 PECOS PAC ID: 9032491063 Enrollment ID: I20231007000704 |
Provider Name | Kate Cordisco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003246851 PECOS PAC ID: 0345467247 Enrollment ID: I20231011002000 |
Provider Name | Rhonda Jo Irving |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215310503 PECOS PAC ID: 2365756228 Enrollment ID: I20231012001411 |
Provider Name | Afsheen Masood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548666373 PECOS PAC ID: 1658658984 Enrollment ID: I20231014000357 |
Provider Name | Theresa Marie Vergara |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144870056 PECOS PAC ID: 1052709086 Enrollment ID: I20231021000041 |
Provider Name | Leslie Elizabeth Conner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962538405 PECOS PAC ID: 1355521485 Enrollment ID: I20231025002697 |
Provider Name | Kathleen Appling Tidwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700490166 PECOS PAC ID: 6406261692 Enrollment ID: I20231111000316 |
Provider Name | Natasha Pervez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487030615 PECOS PAC ID: 8628498029 Enrollment ID: I20231129001819 |
Provider Name | Rabab Zehra Jafri |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1851655864 PECOS PAC ID: 2860702925 Enrollment ID: I20240507002098 |
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