Edith A Iwan, NP is a
Nurse Practitioner - Family based in Thoreau, New Mexico. Edith A Iwan is licensed to practice in New Mexico (license number R31814) and her current practice location is
15 Navarre Blvd., Thoreau, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 862-7417.
NPI number for Edith A Iwan is 1285667600 and her current mailing address is Po Box 28, Thoreau, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285667600.
Provider's Profile
| Full Name | Edith A Iwan |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
|---|
| Location | 15 Navarre Blvd., Thoreau, New Mexico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285667600
- Provider Enumeration Date: 07/09/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Edith A Iwan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285667600 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | R31814 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edith A Iwan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Edith A Iwan, NP
Po Box 28,
Thoreau, NM 87323-0028
Ph: (505) 862-7417 | Edith A Iwan, NP
15 Navarre Blvd.,
Thoreau, NM 87323-1017
Ph: (505) 862-7417 |
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