Iliana Berenice Bonilla Canas, | |
6020 Warden Rd Ste 100, Sherwood, AR 72120-6015 | |
(501) 552-6400 | |
Not Available |
Full Name | Iliana Berenice Bonilla Canas |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 6020 Warden Rd Ste 100, Sherwood, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720849474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 226558 (Arkansas) | Primary |
Entity Name | Urgent Team Of Arkansas Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992041370 PECOS PAC ID: 1850539198 Enrollment ID: O20130529000209 |
Mailing Address | Practice Location Address |
---|---|
Iliana Berenice Bonilla Canas, Po Box 1107, Conway, AR 72033-1107 Ph: (817) 876-8083 | Iliana Berenice Bonilla Canas, 6020 Warden Rd Ste 100, Sherwood, AR 72120-6015 Ph: (501) 552-6400 |
Kierra Jenkins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11101 Bock Rd, Sherwood, AR 72120 Phone: 501-658-2725 | |
Tammy Settles, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7481 Warden Rd, Sherwood, AR 72120 Phone: 501-733-4363 | |
Heather Suzanne Brown, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 856 Silverpeak Rd, Sherwood, AR 72120 Phone: 501-837-4930 | |
Lindsay Simpson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1525 Country Club Road, Sherwood, AR 72120 Phone: 501-758-1530 Fax: 501-819-6171 | |
Megan Brooke Kellar, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2215 Wildwood Ave Ste 208, Sherwood, AR 72120 Phone: 501-552-7570 Fax: 501-552-8540 | |
Andrea L Kellar, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2215 Wildwood Ave, Suite 204, Sherwood, AR 72120 Phone: 501-753-2424 Fax: 501-753-2733 | |
Mrs. Debra Nelson, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7370 W Ridge Cir, Sherwood, AR 72120 Phone: 201-658-0423 |