| Cresfield Winslow Moody, FNP | |
|
463 S. Lake Powell Blvd, Page, AZ 86040-0790 | |
| (928) 645-0945 | |
| (925) 645-3254 |
| Full Name | Cresfield Winslow Moody |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 463 S. Lake Powell Blvd, Page, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962468678 | NPI | - | NPPES |
| AZ158651 | Other | AZ | BCBS PROVIDER NUMBER |
| AZ07272 | Other | AZ | ELECTRONIC TRADING NUMBER |
| 957152 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP2197 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Cresfield Winslow Moody, FNP Po Box 790, 463 S. Lake Powell Blvd, Page, AZ 86040-0790 Ph: (928) 645-0945 | Cresfield Winslow Moody, FNP 463 S. Lake Powell Blvd, Page, AZ 86040-0790 Ph: (928) 645-0945 |
Inge C Bertram, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 827 Vista Ave, Page, AZ 86040 Phone: 928-645-9675 | |
Shanah Nelson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 440 N Navajo Dr, Page, AZ 86040 Phone: 928-645-1700 | |
Elizabeth G. Latham, F.N.P.-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 467 Vista Ave., Page, AZ 86040 Phone: 928-645-8123 Fax: 928-645-3862 | |
Elizabeth Ann Baldwin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 463s Lake Powell Blvd, Page, AZ 86040 Phone: 928-645-0945 Fax: 928-645-2377 | |
Mrs. Glenda P Washburn, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 325 Cedar Street, Page, AZ 86040 Phone: 480-434-7750 | |
Mrs. Brittany Jamaica Fat-denatsosie, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 467 Vista Ave, Page, AZ 86040 Phone: 928-645-8123 | |
Barbara Valvo, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 463 S Lake Powell Blvd, Page, AZ 86040 Phone: 928-645-0945 |