Leticia Dedumo Reyes, NPC | |
Kulot Drive Chalan Kamoa, Saipan, MP 96950-8901 | |
(670) 285-1805 | |
Not Available |
Full Name | Leticia Dedumo Reyes |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | Kulot Drive Chalan Kamoa, Saipan, Northern Mariana Islands |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760838585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F0216740 (Northern Mariana Islands) | Primary |
Entity Name | Health Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366467110 PECOS PAC ID: 7911896758 Enrollment ID: O20040311000522 |
Mailing Address | Practice Location Address |
---|---|
Leticia Dedumo Reyes, NPC Po Box 504576, Saipan, MP 96950-8901 Ph: (670) 285-1805 | Leticia Dedumo Reyes, NPC Kulot Drive Chalan Kamoa, Saipan, MP 96950-8901 Ph: (670) 285-1805 |
Jihyun Kim, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Jkr Building, Beach Road, Garapan, Saipan, MP 96950 Phone: 670-234-3925 | |
Mrs. Renea Dasmarinas Raho, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Lower Navy Hill Road, Saipan, MP 96950 Phone: 670-234-8950 | |
Qiwei Wang, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Beach Road Garapan, Saipan, MP 96950 Phone: 670-234-3926 | |
Shawna Brennfleck, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Lower Navy Hill Road, Saipan, MP 96950 Phone: 670-234-8950 | |
Lucy Pangelinan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Garapan Beach Rd, Saipan, MP 96950 Phone: 670-234-3925 | |
Mrs. Bertha Peters Camacho, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Mh Ii Bldg Marina Heights Business Park, Suite 101, Saipan, MP 96950 Phone: 670-323-9000 Fax: 670-323-9010 |