| True Neuropathy And Wound Solutions Az | |
|
932 S Main St # B203 Snowflake AZ 85937-5585 | |
| (928) 457-0929 | |
| Not Available |
| Full Name | True Neuropathy And Wound Solutions Az |
|---|---|
| Speciality | General Practice |
| Location | 932 S Main St # B203, Snowflake, Arizona |
| Authorized Official Name and Position | Christine Pasco-weeks (BILLING COORDINATOR) |
| Authorized Official Contact | 4809771138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| True Neuropathy And Wound Solutions Az 4828 S Val Vista Dr Gilbert AZ 85298-7323 Ph: (480) 977-1138 | True Neuropathy And Wound Solutions Az 932 S Main St # B203 Snowflake AZ 85937-5585 Ph: (928) 457-0929 |
| NPI Number | 1811635113 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 10/13/2022 |
| Medicare PECOS PAC ID | 1254715089 |
|---|---|
| Medicare Enrollment ID | O20220829001622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811635113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Lu Ann Penchuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548577695 PECOS PAC ID: 0749452803 Enrollment ID: I20111013000477 |
| Provider Name | Ashley Marie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598321481 PECOS PAC ID: 4880929769 Enrollment ID: I20190715002599 |
| Provider Name | Kristeena Ison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992441836 PECOS PAC ID: 9638550783 Enrollment ID: I20220720001737 |
| Provider Name | Betty Ayele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962137737 PECOS PAC ID: 4587030309 Enrollment ID: I20221019002988 |
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Neuropathy Center Of The White Mountains Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 932 Main St, Ste B203, Snowflake, AZ 85937 Phone: 928-457-0961 Fax: 928-457-0929 | |
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