Philicia J King, PMHNP-BC, FNP-BC | |
2573 State Highway 522, Questa, NM 87556 | |
(575) 586-0315 | |
Not Available |
Full Name | Philicia J King |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2573 State Highway 522, Questa, 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 |
---|---|---|---|
1528699675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024178413 (Virginia) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 65770 (New Mexico) | Primary |
Entity Name | Mary Washington Healthcare Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295999852 PECOS PAC ID: 2769546530 Enrollment ID: O20090123000298 |
Mailing Address | Practice Location Address |
---|---|
Philicia J King, PMHNP-BC, FNP-BC 2573 State Highway 522, Questa, NM 87556 Ph: (575) 586-0315 | Philicia J King, PMHNP-BC, FNP-BC 2573 State Highway 522, Questa, NM 87556 Ph: (575) 586-0315 |
Carol Joann Quintana, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2573 State Hwy 522, Questa, NM 87556 Phone: 505-586-0315 Fax: 505-586-0519 | |
Lia Bello, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Hc 81 Box 6023, Questa, NM 87556 Phone: 505-586-1166 | |
William Jay Salls, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2573 State Highway 522, Questa, NM 87556 Phone: 575-586-0315 | |
Tamaki Anne Harrold, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2573 State Hwy 522, Questa, NM 87556 Phone: 575-586-3015 Fax: 575-586-0519 |