Sherry Ann Polen, CNP | |
1217 Bonita St, Grants, NM 87020-2103 | |
(505) 287-2958 | |
(505) 287-2403 |
Full Name | Sherry Ann Polen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1217 Bonita St, Grants, 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 |
---|---|---|---|
1518681360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R54563 (New Mexico) | Secondary |
363LF0000X | Nurse Practitioner - Family | 70171 (New Mexico) | Primary |
Entity Name | Presbyterian Medical Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871505032 PECOS PAC ID: 2062324684 Enrollment ID: O20031103000414 |
Entity Name | Cura Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649984667 PECOS PAC ID: 5799143103 Enrollment ID: O20230616001109 |
Mailing Address | Practice Location Address |
---|---|
Sherry Ann Polen, CNP 504 Leach Ave, Grants, NM 87020-2041 Ph: (505) 290-5780 | Sherry Ann Polen, CNP 1217 Bonita St, Grants, NM 87020-2103 Ph: (505) 287-2958 |
Miss Dorcas Ann Yates, RN CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 E Roosevelt Ave, Grants, NM 87020 Phone: 505-287-2948 Fax: 505-287-5372 | |
Patricia Thompson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2111 Lobo Canyon Rd, Grants, NM 87020 Phone: 505-876-8300 Fax: 505-876-8348 | |
Daniel Edward Fenton Ii, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 E Roosevelt Ave, Grants, NM 87020 Phone: 505-658-1347 Fax: 866-422-1014 | |
Lita C Bailly, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1217 Bonita St, Grants, NM 87020 Phone: 505-287-2950 Fax: 505-287-2403 | |
Martha Elia Reyes, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1423 E Roosevelt Ave, Grants, NM 87020 Phone: 505-287-6500 | |
Ms. Martha Abeyta, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1210 Mt. Taylor Ave, Grants, NM 87020 Phone: 505-240-1555 Fax: 505-287-2465 | |
Eun Bellisario, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1217 Bonita St, Grants, NM 87020 Phone: 505-287-2958 Fax: 505-287-2403 |