Edelweiss Von Maack, NP-C | |
24785 Stewart St Ste 111, Loma Linda, CA 92350-1721 | |
(909) 558-4594 | |
(909) 558-0433 |
Full Name | Edelweiss Von Maack |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 24785 Stewart St Ste 111, Loma Linda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093128860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | AP60451797 (Washington) | Primary |
Entity Name | Bastion Health Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750921193 PECOS PAC ID: 1557790896 Enrollment ID: O20200407002530 |
Mailing Address | Practice Location Address |
---|---|
Edelweiss Von Maack, NP-C 24785 Stewart St., Suite 101, Loma Linda, CA 92354 Ph: (909) 558-4594 | Edelweiss Von Maack, NP-C 24785 Stewart St Ste 111, Loma Linda, CA 92350-1721 Ph: (909) 558-4594 |
Holly Cornejo, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Mrs. Kenya Neoko Singleton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton Street, Loma Linda, CA 92357 Phone: 909-825-7084 Fax: 909-777-3874 | |
Miss Christine Eunice Kurunathan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11034 Veach St, Loma Linda, CA 92354 Phone: 909-825-7084 Fax: 909-777-3291 | |
Krista Smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Cecille Bernad Ubbaonu, MSN, RN, AG-ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11285 Mountain View Ave, 40, Loma Linda, CA 92354 Phone: 909-558-5844 Fax: 909-558-7873 | |
Kristina Pulliam Markey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson Strreet, Loma Linda, CA 92354 Phone: 909-558-5967 | |
Lauren Trajano, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8000 |