Leeza Camacho Wills, NP | |
1140 W La Veta Ave Ste 770, Orange, CA 92868-4229 | |
(714) 835-8715 | |
Not Available |
Full Name | Leeza Camacho Wills |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Women's Health |
Location | 1140 W La Veta Ave Ste 770, Orange, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326470683 | NPI | - | NPPES |
33-0150193 | Other | CA | MEDI-CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 462152 (California) | Secondary |
363LW0102X | Nurse Practitioner - Women's Health | NP95008565 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Leeza Camacho Wills, NP 1140 W La Veta Ave Ste 770, Orange, CA 92868-4229 Ph: (714) 835-8715 | Leeza Camacho Wills, NP 1140 W La Veta Ave Ste 770, Orange, CA 92868-4229 Ph: (714) 835-8715 |
Jennifer Michelle Shively, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-204-3277 | |
Sarah Stephens, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 W Stewart Dr, Orange, CA 92868 Phone: 714-771-8000 | |
Stephanie Pukini, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2592 N Santiago Blvd, Orange, CA 92867 Phone: 855-434-7763 | |
Patricia Goings, N.P., R.N. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2501 E Chapman Ave, Orange, CA 92869 Phone: 714-628-3110 Fax: 714-633-1715 | |
Anna Katrina Cruz, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 W Chapman Ave, Orange, CA 92868 Phone: 714-633-4300 | |
Lea D Wood, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7630 E Chapman Ave Ste B, Orange, CA 92869 Phone: 714-287-0459 | |
Elen G Araya, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812 |