Zachary Thomas Johnathan Wills, | |
2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | |
(864) 157-5522 | |
Not Available |
Full Name | Zachary Thomas Johnathan Wills |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 2450 S Telshor Blvd, Las Cruces, 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 |
---|---|---|---|
1942959481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | NM-86070 (New Mexico) | Secondary |
363LF0000X | Nurse Practitioner - Family | 69330 (New Mexico) | Primary |
Entity Name | Health Care Solutions Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366410771 PECOS PAC ID: 7315836574 Enrollment ID: O20040315000471 |
Entity Name | Southwest Emergency Medical Associates Of Nm Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720505571 PECOS PAC ID: 8426324294 Enrollment ID: O20171023001270 |
Mailing Address | Practice Location Address |
---|---|
Zachary Thomas Johnathan Wills, 3940 Pennsylvania Pl, Las Cruces, NM 88012-0814 Ph: (530) 415-4707 | Zachary Thomas Johnathan Wills, 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 Ph: (864) 157-5522 |
Shelby Danae Whitlock-virden, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5020 Meadow Cir, Las Cruces, NM 88007 Phone: 575-649-7113 | |
Dr. Rhaemi E Gaufin, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3961 E Lohman Ave Ste 33, Las Cruces, NM 88011 Phone: 575-556-0200 | |
Mrs. Heather A Lugo, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4391 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-522-2633 Fax: 575-522-2311 | |
Mrs. Sandra Avigail Angulo, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3751 Del Rey Blvd, Las Cruces, NM 88012 Phone: 575-382-3500 | |
Sylina Peterson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3964 Pacific Loop, Las Cruces, NM 88012 Phone: 575-635-1403 | |
Leandra Gabrielle Ogas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1455 S Valley Dr Ste B, Las Cruces, NM 88005 Phone: 575-526-6992 | |
Lauren Marie Mattiace, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 999 W Amador Ave, Las Cruces, NM 88005 Phone: 575-527-5482 |