Daniel Gallegos, ANP | |
10645 N Tatum Blvd, 200-152, Phoenix, AZ 85028-3068 | |
(602) 380-6012 | |
(480) 287-9269 |
Full Name | Daniel Gallegos |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Adult Health |
Location | 10645 N Tatum Blvd, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992955363 | NPI | - | NPPES |
472262 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | AP3383 (Arizona) | Primary |
Entity Name | Optimal Spine & Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386835965 PECOS PAC ID: 2466487392 Enrollment ID: O20050929000553 |
Mailing Address | Practice Location Address |
---|---|
Daniel Gallegos, ANP 10645 N Tatum Blvd, Ste 200-152, Phoenix, AZ 85028-3068 Ph: (602) 380-6012 | Daniel Gallegos, ANP 10645 N Tatum Blvd, 200-152, Phoenix, AZ 85028-3068 Ph: (602) 380-6012 |
Ms. Karla D Wax, N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006 Phone: 602-254-3151 Fax: 602-256-9581 | |
Miss Kimara Vaughn, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2770 E Van Buren St, Phoenix, AZ 85008 Phone: 602-273-9999 | |
Gia Kay Thompson, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 Fax: 602-462-1186 | |
Michele A Riep, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 | |
Tyler Ann Brockhoff, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2632 E Thomas Rd # 100, Phoenix, AZ 85016 Phone: 602-957-2507 | |
Rebecca Anne Shaw, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16620 N 40th St Ste E1, Phoenix, AZ 85032 Phone: 602-464-9576 Fax: 480-428-0475 | |
Mrs. Sonia Teresa Brunson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 E Morten Ave Unit 54, Phoenix, AZ 85020 Phone: 925-413-9919 |