| Mrs Jacqueline Lea Agenbroad, NP | |
|
1300 N 12th St, Suite 407, Phoenix, AZ 85006-2848 | |
| (602) 239-6762 | |
| (602) 239-5112 |
| Full Name | Mrs Jacqueline Lea Agenbroad |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1300 N 12th St, Phoenix, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447222328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN097748 (Arizona) | Secondary |
| 363L00000X | Nurse Practitioner | NP290 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jacqueline Lea Agenbroad, NP 12895 W Pasadena Ave, Litchfield Park, AZ 85340 Ph: (623) 935-2373 | Mrs Jacqueline Lea Agenbroad, NP 1300 N 12th St, Suite 407, Phoenix, AZ 85006-2848 Ph: (602) 239-6762 |
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 | |
Rebecca Anne Shaw, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16620 N 40th St Ste E1, Phoenix, AZ 85032 Phone: 602-464-9576 Fax: 480-428-0475 | |
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 |