Toni Kay Coleman, | |
150 E. Tyson Road, Quartzsite, AZ 85346 | |
(928) 927-8747 | |
(928) 927-8748 |
Full Name | Toni Kay Coleman |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 150 E. Tyson Road, Quartzsite, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497232714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN187797 (Arizona) | Secondary |
363LF0000X | Nurse Practitioner - Family | TAP11394 (Arizona) | Primary |
Entity Name | La Paz Regional Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083639983 PECOS PAC ID: 1557273356 Enrollment ID: O20031219000694 |
Mailing Address | Practice Location Address |
---|---|
Toni Kay Coleman, 1200 W Mohave Rd, Parker, AZ 85344-6349 Ph: (928) 669-7311 | Toni Kay Coleman, 150 E. Tyson Road, Quartzsite, AZ 85346 Ph: (928) 927-8747 |
Benvinda Ann Pereira, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 255 N. Central Blvd., Suite #5, Quartzsite, AZ 85346 Phone: 928-927-6105 Fax: 928-927-6110 | |
Mr. Phillip Wayne Clark, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 E. Tyson Rd, Quartzsite, AZ 85359 Phone: 928-927-8749 Fax: 928-927-8748 |