Ms Bose Grace Anifowose, DNP, FNP, PMHNP | |
1075 W Avalon Canyon Dr, Casa Grande, AZ 85122-6706 | |
(623) 565-2668 | |
(520) 635-5510 |
Full Name | Ms Bose Grace Anifowose |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1075 W Avalon Canyon Dr, Casa Grande, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932589322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP7746 (Arizona) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP7746 (Arizona) | Secondary |
Entity Name | Mind 247 Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902472467 PECOS PAC ID: 6406253541 Enrollment ID: O20210916001566 |
Mailing Address | Practice Location Address |
---|---|
Ms Bose Grace Anifowose, DNP, FNP, PMHNP 2381 E Alonso Dr, Casa Grande, AZ 85194-7460 Ph: (623) 565-2668 | Ms Bose Grace Anifowose, DNP, FNP, PMHNP 1075 W Avalon Canyon Dr, Casa Grande, AZ 85122-6706 Ph: (623) 565-2668 |
Mrs. Tiffany Nicole Valdez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1811 E Mcmurray Blvd, Casa Grande, AZ 85122 Phone: 520-374-6530 | |
Mrs. Krista Marie Nielsen, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1676 E. Mcmurray Blvd, Cgrmc Urgent Care, Casa Grande, AZ 85222 Phone: 520-316-0688 | |
Essie Harrell, FNP BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 865 N Arizola Rd, Casa Grande, AZ 85122 Phone: 520-836-3446 Fax: 520-836-8807 | |
Rachael Tobie, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 161 W Rodeo Rd, Casa Grande, AZ 85122 Phone: 520-836-1772 | |
Kristin Marie Grammatico, CRNA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 E Florence Blvd, Casa Grande, AZ 85122 Phone: 520-381-6150 | |
Mrs. Carolyn Beth Schooley, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 560 N Camino Mercado Ste 7, Casa Grande, AZ 85122 Phone: 520-836-5538 Fax: 844-772-0049 | |
Jennifer Ann Nies, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1653 E Mcmurray Blvd Ste 132, Casa Grande, AZ 85122 Phone: 520-876-0478 |