Anita C Gallardo, FNP-C | |
114 W 11th St, Silver City, NM 88061 | |
(575) 388-1511 | |
(575) 313-8234 |
Full Name | Anita C Gallardo |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 114 W 11th St, Silver City, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003890195 | NPI | - | NPPES |
43351514 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | CNP-03096 (New Mexico) | Primary |
Entity Name | Summit Medical Group Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053810622 PECOS PAC ID: 3173872835 Enrollment ID: O20180814003015 |
Mailing Address | Practice Location Address |
---|---|
Anita C Gallardo, FNP-C 530 De Moss St, Lordsburg, NM 88045-2618 Ph: (575) 542-2369 | Anita C Gallardo, FNP-C 114 W 11th St, Silver City, NM 88061 Ph: (575) 388-1511 |
Lacy Ann Rodriguez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 W 11th St, Silver City, NM 88061 Phone: 575-388-1511 | |
Denise Edith Galaz, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1280 E 32nd St, Silver City, NM 88061 Phone: 575-388-1561 | |
Dr. Kyia Mountain, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 E 32nd St, Silver City, NM 88061 Phone: 575-538-2981 | |
Karen Degenevieve, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1313 E 32nd St, Silver City, NM 88061 Phone: 575-538-4009 Fax: 575-538-4003 | |
Shashera Pringle, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 E 32nd St, Silver City, NM 88061 Phone: 575-538-2981 Fax: 855-653-5171 | |
Christina Racquel Solberg, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 209 Highway 180 W, Silver City, NM 88061 Phone: 575-590-1496 |