Kim Anderson Greenwood, PNP, MS | |
590 S Ocotillo Ave, Benson, AZ 85602-6405 | |
(520) 586-7080 | |
(520) 586-3163 |
Full Name | Kim Anderson Greenwood |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 590 S Ocotillo Ave, Benson, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417048356 | NPI | - | NPPES |
488462 | Other | AZ | AHCCCS # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | PNPAP0073 (Arizona) | Primary |
Entity Name | El Rio Santa Cruz Neighborhood Health Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487602736 PECOS PAC ID: 6305739244 Enrollment ID: O20040205000098 |
Entity Name | Sonora Behavioral Health Hospital Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750466892 PECOS PAC ID: 6406857440 Enrollment ID: O20071120000476 |
Mailing Address | Practice Location Address |
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Kim Anderson Greenwood, PNP, MS 489 N Arroyo Blvd, Nogales, AZ 85621-2644 Ph: (520) 287-4713 | Kim Anderson Greenwood, PNP, MS 590 S Ocotillo Ave, Benson, AZ 85602-6405 Ph: (520) 586-7080 |
Tracey Lynn Tinnon, RN,MSN,FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 688 W 4th St, Benson, AZ 85602 Phone: 520-720-6551 Fax: 520-720-6552 | |
Robert Charles Frickey, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 890 W 4th St, Benson, AZ 85602 Phone: 520-586-3664 Fax: 520-586-3665 | |
Mrs. Evangelina Pavelik Miller, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 890 W 4th St, Benson, AZ 85602 Phone: 520-586-3664 | |
Debra Rouse Haber, RN, MS, AGNP-C, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 755 S Grapevine Loop, Benson, AZ 85602 Phone: 520-490-1456 | |
Chine Quetzalcoatl Tan Myers, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 335 S Ocotillo Ave, Benson, AZ 85602 Phone: 520-586-4040 | |
Nicklett R Johnston, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 688 W 4th St Ste B, Benson, AZ 85602 Phone: 520-720-6551 Fax: 520-720-6552 | |
Ms. Constance L Slay, MSN/FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 470 S Ocotillo Ave, Benson, AZ 85602 Phone: 520-366-0598 |