Kimberly Bacolor Gonzales, | |
8291 Palladium St, Las Vegas, NV 89113-4133 | |
(702) 521-7190 | |
Not Available |
Full Name | Kimberly Bacolor Gonzales |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 8291 Palladium St, Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497532691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 870538 (Nevada) | Primary |
Entity Name | Infectious Disease Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558427526 PECOS PAC ID: 7214974971 Enrollment ID: O20050413001248 |
Entity Name | Get Well House Calls Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033744438 PECOS PAC ID: 1557783313 Enrollment ID: O20200624000671 |
Entity Name | Metabolic Restoration Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457000192 PECOS PAC ID: 4284021627 Enrollment ID: O20220503001922 |
Mailing Address | Practice Location Address |
---|---|
Kimberly Bacolor Gonzales, 8291 Palladium St, Las Vegas, NV 89113-4133 Ph: (702) 521-7190 | Kimberly Bacolor Gonzales, 8291 Palladium St, Las Vegas, NV 89113-4133 Ph: (702) 521-7190 |
Dena Kae Meeter, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7455 W Washington Ave, #160, Las Vegas, NV 89128 Phone: 702-878-0393 Fax: 702-940-5601 | |
Vanesa Francis Cheng, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9550 S Eastern Ave Ste 253, Las Vegas, NV 89123 Phone: 888-803-3370 Fax: 661-634-1040 | |
Ms. Lotis Gay Perilla Edano, APRN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2545 S Bruce St Ste 200, Las Vegas, NV 89169 Phone: 702-732-2438 Fax: 702-733-7876 | |
Jann Stacey Pickens, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 Shadow Ln, Las Vegas, NV 89106 Phone: 702-388-4506 Fax: 702-388-4810 | |
Tamaris Samantha Cotta, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9280 W Sunset Rd Ste 400, Las Vegas, NV 89148 Phone: 702-366-1268 Fax: 702-366-7079 | |
Tasha Gouin, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9097 W Post Rd Ste 100, Las Vegas, NV 89148 Phone: 702-430-5333 | |
Aric Pedro Adaoag, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9816 Gilespie St Ste 550, Las Vegas, NV 89183 Phone: 702-202-6336 Fax: 702-202-6318 |