Caroline Tracey, CNP | |
80 B Veterans Blvd, Acoma, NM 87034 | |
(505) 552-5300 | |
(505) 552-5490 |
Full Name | Caroline Tracey |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 80 B Veterans Blvd, Acoma, 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 |
---|---|---|---|
1740452457 | NPI | - | NPPES |
H3451 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP3896 (Arizona) | Primary |
Entity Name | Winslow Indian Health Care Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184729493 PECOS PAC ID: 4284548991 Enrollment ID: O20031117000864 |
Entity Name | Dhhs Phs Naihs Crownpoint Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114960093 PECOS PAC ID: 0143128041 Enrollment ID: O20031230000393 |
Mailing Address | Practice Location Address |
---|---|
Caroline Tracey, CNP Po Box 130, San Fidel, NM 87049-0130 Ph: (505) 552-5300 | Caroline Tracey, CNP 80 B Veterans Blvd, Acoma, NM 87034 Ph: (505) 552-5300 |
Ms. Hlengiwe Lindani Sibanda, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 | |
Michelle F Dubuisson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Janet E Dominguez, C-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Patricia A Monroe, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Stacy-ann Shand, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-3000 | |
Ana L Tesh, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Lisa Spero, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 |