Laurie J Pung, CFNP CWHNP | |
406 Northcutt Dr, Alamo, TX 78516-2603 | |
(763) 482-9552 | |
Not Available |
Full Name | Laurie J Pung |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 406 Northcutt Dr, Alamo, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528049970 | NPI | - | NPPES |
1008899 | Other | PREFERRED ONE | |
01F17PU | Other | BLUE CROSS BLUE SHIELD | |
113030 | Other | UCARE | |
885520000 | Medicaid | MN | |
0703061 | Other | MEDICA HEALTH PLANS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | R1070602 (Minnesota) | Secondary |
363LF0000X | Nurse Practitioner - Family | R1070602 (Minnesota) | Primary |
Entity Name | Legacy Physiatry Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316078769 PECOS PAC ID: 1759353519 Enrollment ID: O20070907000584 |
Entity Name | Regency Ihs Nps Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619432986 PECOS PAC ID: 0749529766 Enrollment ID: O20190308000368 |
Mailing Address | Practice Location Address |
---|---|
Laurie J Pung, CFNP CWHNP 406 Northcutt Dr, Alamo, TX 78516-2603 Ph: (763) 482-9552 | Laurie J Pung, CFNP CWHNP 406 Northcutt Dr, Alamo, TX 78516-2603 Ph: (763) 482-9552 |
Venisa Villarreal, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1449 W Duranta Ave Ste 3, Alamo, TX 78516 Phone: 956-283-0566 | |
Jesus Alejandro Elizondo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1343 13th St, Alamo, TX 78516 Phone: 956-263-7374 | |
Aleli Duque, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 427 E Duranta Ave Ste 108, Alamo, TX 78516 Phone: 956-787-0770 Fax: 956-787-0995 | |
Diana Castro, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 427 E Duranta Ave Ste 103, Alamo, TX 78516 Phone: 956-781-5590 | |
Ms. Sheena Valrie De Guzman Reyes, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 427 E Duranta Ave, Alamo, TX 78516 Phone: 956-787-0770 | |
Reynaldo Valdez, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 427 E Duranta Ave, Suite 102, Alamo, TX 78516 Phone: 956-702-2444 Fax: 956-702-2455 |