Ms Thora C Mark, NP-C | |
520 W Santa Monica Ave, Dededo, GU 96929-5286 | |
(671) 635-7400 | |
Not Available |
Full Name | Ms Thora C Mark |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 520 W Santa Monica Ave, Dededo, Guam |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336658889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RX0487 (Guam) | Secondary |
363LF0000X | Nurse Practitioner - Family | NP0169 (Guam) | Primary |
Entity Name | General Conference Corp Of Sda |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586877 PECOS PAC ID: 6608777628 Enrollment ID: O20040114000187 |
Entity Name | The Doctors Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467503433 PECOS PAC ID: 3779472584 Enrollment ID: O20160602001446 |
Mailing Address | Practice Location Address |
---|---|
Ms Thora C Mark, NP-C Po Box 5152, Mangilao, GU 96923-5152 Ph: (671) 734-6275 | Ms Thora C Mark, NP-C 520 W Santa Monica Ave, Dededo, GU 96929-5286 Ph: (671) 635-7400 |
Ms. Elizabeth Dizon Santos, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 655 Harmon Loop Rd Ste 300, Dededo, GU 96929 Phone: 671-647-5355 Fax: 671-649-0404 | |
Dr. Bryan Christopher Bansil, DNP, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Route 3, Dededo, GU 96929 Phone: 671-645-5500 | |
Anna Karmela De Belen, APRN-NP BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 133 Route 3, Dededo, GU 96929 Phone: 671-645-5500 | |
Lean Carlo Mendoza Losinio, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 W Santa Monica Ave, Dededo, GU 96929 Phone: 671-635-4422 Fax: 671-635-7493 | |
Ms. Teofila Maria Perez Cruz, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 520 W Santa Monica Ave, Dededo, GU 96929 Phone: 671-635-7447 | |
Meagan Bamba-ada, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 W Santa Monica Ave, Dededo, GU 96929 Phone: 671-687-6235 | |
Ann M Keenan, AGNP, CCRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 655 Harmon Loop Rd Ste 102, Dededo, GU 96929 Phone: 671-989-6600 Fax: 671-989-8836 |