| Peter Paul Moheb Hennis, AGNP | |
|
520 N Camino Mercado Ste 1, Casa Grande, AZ 85122-5754 | |
| (520) 557-5600 | |
| (480) 494-2771 |
| Full Name | Peter Paul Moheb Hennis |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 520 N Camino Mercado Ste 1, 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 |
|---|---|---|---|
| 1588233175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 258473 (Arizona) | Primary |
| Entity Name | Az Health Centers, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992119986 PECOS PAC ID: 0648496489 Enrollment ID: O20140917001196 |
| Entity Name | Bonhoeffer Rheumatology Institute Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811372345 PECOS PAC ID: 1850601360 Enrollment ID: O20151113000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Paul Moheb Hennis, AGNP 2451 E Baseline Rd, Gilbert, AZ 85234-2471 Ph: (480) 494-2770 | Peter Paul Moheb Hennis, AGNP 520 N Camino Mercado Ste 1, Casa Grande, AZ 85122-5754 Ph: (520) 557-5600 |
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 |