Bryan J Ebeling, | |
1298 W Finnie Flat Rd, Camp Verde, AZ 86322-5958 | |
(928) 639-5555 | |
Not Available |
Full Name | Bryan J Ebeling |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1298 W Finnie Flat Rd, Camp Verde, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164058087 | NPI | - | NPPES |
F03200300 | Other | AANP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 239674 (Arizona) | Primary |
Entity Name | Northern Arizona Healthcare Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409 |
Mailing Address | Practice Location Address |
---|---|
Bryan J Ebeling, 7805 W Sweetwater Trl, Flagstaff, AZ 86001-8191 Ph: (435) 749-0078 | Bryan J Ebeling, 1298 W Finnie Flat Rd, Camp Verde, AZ 86322-5958 Ph: (928) 639-5555 |
Mindy Diehl, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 348 S Main St, Camp Verde, AZ 86322 Phone: 928-649-6477 | |
Jennifer Dorn, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1298 W Finnie Flat Rd, Camp Verde, AZ 86322 Phone: 928-639-5555 Fax: 928-639-5554 | |
Deborah A Wasson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Yavapai-apache Health Center, 2121 W Reservation Loop Rd, Camp Verde, AZ 86322 Phone: 928-567-2168 | |
Dr. Samuel W Fongang, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1298 W Finnie Flat Rd, Camp Verde, AZ 86322 Phone: 928-639-5555 | |
Jason Scott Litzinger, MSN, RNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1298 W Finnie Flat Rd, Camp Verde, AZ 86322 Phone: 928-350-5574 | |
Danielle L. Woo, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1298 W Finnie Flat Rd, Camp Verde, AZ 86322 Phone: 928-639-5555 Fax: 928-639-5554 |