Miss Elisha M Esparza, | |
1346 N Heath Ave, Boise, ID 83713-2206 | |
(208) 585-8492 | |
Not Available |
Full Name | Miss Elisha M Esparza |
---|---|
Gender | Female |
Speciality | Registered Nurse - Neonatal Intensive Care |
Location | 1346 N Heath Ave, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184212805 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LN0005X | Nurse Practitioner - Neonatal, Critical Care | 254819 (Arizona) | Secondary |
163WN0002X | Registered Nurse - Neonatal Intensive Care | 4883 (Idaho) | Primary |
Entity Name | Banner -- University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
Mailing Address | Practice Location Address |
---|---|
Miss Elisha M Esparza, 1625 N Campbell Ave, Tucson, AZ 85719-4330 Ph: (520) 634-7578 | Miss Elisha M Esparza, 1346 N Heath Ave, Boise, ID 83713-2206 Ph: (208) 585-8492 |
Robert Fisher, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1092 | |
Christopher M Gutierrez, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1000 | |
Trina S Hunter, RN, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8601 W Emerald St Ste 160, Boise, ID 83704 Phone: 208-991-4488 | |
Rebecca Cotterell, RN-BC, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1000 Fax: 208-422-1591 | |
Philip Resin Elackatt, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 986-256-1766 | |
Laura Rossow, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1000 | |
Alicia Curmi, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 417 S 6th St, Boise, ID 83702 Phone: 734-812-3214 |