Mrs Anne Woodling, CNP | |
141 N Roadrunner Pkwy Ste 228, Las Cruces, NM 88011-2001 | |
(575) 521-1177 | |
(575) 449-4963 |
Full Name | Mrs Anne Woodling |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 141 N Roadrunner Pkwy Ste 228, Las Cruces, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790897957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | CNP00925 (New Mexico) | Primary |
363L00000X | Nurse Practitioner | R41289 (New Mexico) | Secondary |
207N00000X | Dermatology | R41289 (New Mexico) | Secondary |
Entity Name | Epiphany Dermatology Of New Mexico, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447615760 PECOS PAC ID: 4082919691 Enrollment ID: O20160219000201 |
Mailing Address | Practice Location Address |
---|---|
Mrs Anne Woodling, CNP 7300 Ranch Road 2222, Bldg 1, Ste 200, Austin, TX 78730-3255 Ph: (512) 759-8932 | Mrs Anne Woodling, CNP 141 N Roadrunner Pkwy Ste 228, Las Cruces, NM 88011-2001 Ph: (575) 521-1177 |
Shelby Danae Whitlock-virden, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5020 Meadow Cir, Las Cruces, NM 88007 Phone: 575-649-7113 | |
Dr. Rhaemi E Gaufin, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3961 E Lohman Ave Ste 33, Las Cruces, NM 88011 Phone: 575-556-0200 | |
Mrs. Heather A Lugo, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4391 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-522-2633 Fax: 575-522-2311 | |
Mrs. Sandra Avigail Angulo, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3751 Del Rey Blvd, Las Cruces, NM 88012 Phone: 575-382-3500 | |
Sylina Peterson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3964 Pacific Loop, Las Cruces, NM 88012 Phone: 575-635-1403 | |
Leandra Gabrielle Ogas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1455 S Valley Dr Ste B, Las Cruces, NM 88005 Phone: 575-526-6992 | |
Lauren Marie Mattiace, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 999 W Amador Ave, Las Cruces, NM 88005 Phone: 575-527-5482 |