Lianet Lantigua Ponce De Leon, | |
10645 N 43rd Ave, Phoenix, AZ 85029-3944 | |
(623) 233-2006 | |
(602) 314-6115 |
Full Name | Lianet Lantigua Ponce De Leon |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 10645 N 43rd Ave, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265122584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F05230008 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN305992 (Arizona) | Primary |
Entity Name | Town Center Family Practice Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669585337 PECOS PAC ID: 8628171303 Enrollment ID: O20070319000175 |
Mailing Address | Practice Location Address |
---|---|
Lianet Lantigua Ponce De Leon, 10645 N 43rd Ave, Phoenix, AZ 85029-3944 Ph: (623) 233-2006 | Lianet Lantigua Ponce De Leon, 10645 N 43rd Ave, Phoenix, AZ 85029-3944 Ph: (623) 233-2006 |
Ms. Karla D Wax, N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006 Phone: 602-254-3151 Fax: 602-256-9581 | |
Miss Kimara Vaughn, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2770 E Van Buren St, Phoenix, AZ 85008 Phone: 602-273-9999 | |
Gia Kay Thompson, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 Fax: 602-462-1186 | |
Michele A Riep, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 | |
Tyler Ann Brockhoff, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2632 E Thomas Rd # 100, Phoenix, AZ 85016 Phone: 602-957-2507 | |
Mrs. Sonia Teresa Brunson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 E Morten Ave Unit 54, Phoenix, AZ 85020 Phone: 925-413-9919 | |
Susannamma Lijan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5345 |