Hussein Haidar, | |
13555 W Mcdowell Rd Ste 205, Goodyear, AZ 85395-2626 | |
(623) 295-1190 | |
Not Available |
Full Name | Hussein Haidar |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 13555 W Mcdowell Rd Ste 205, Goodyear, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043084395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704365610 (Michigan) | Secondary |
363LF0000X | Nurse Practitioner - Family | 270547 (Arizona) | Primary |
Entity Name | Epmg Downriver Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093085441 PECOS PAC ID: 6608038443 Enrollment ID: O20120424000499 |
Mailing Address | Practice Location Address |
---|---|
Hussein Haidar, 13555 W Mcdowell Rd Ste 205, Goodyear, AZ 85395-2626 Ph: (623) 295-1190 | Hussein Haidar, 13555 W Mcdowell Rd Ste 205, Goodyear, AZ 85395-2626 Ph: (623) 295-1190 |
Benilde Mwiseneza, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13555 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-295-1190 | |
Miss Kathryn Leigh Miller, ACNPC-AG Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13555 W Mcdowell Rd Ste 203, Goodyear, AZ 85395 Phone: 623-512-4390 | |
Amanda Jo Frary, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13555 W Mcdowell Rd Ste 302, Goodyear, AZ 85395 Phone: 623-404-3046 | |
Shannon Torrez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16751 W Shiloh Ave, Goodyear, AZ 85338 Phone: 480-372-7703 | |
Ana Maria Fuentes, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14415 W Mcdowell Rd Ste D102, Goodyear, AZ 85395 Phone: 623-512-4190 Fax: 623-512-4194 | |
Yvette Thorson, PA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 N Estrella Pkwy Ste 60, Goodyear, AZ 85338 Phone: 623-321-5079 Fax: 623-321-5083 |