| Bevhion Boudica Family Healthcare, Pllc | |
|
2323 E Greenlaw Ln Ste 7b Flagstaff AZ 86004-1849 | |
| (928) 863-6673 | |
| (928) 222-2285 |
| Full Name | Bevhion Boudica Family Healthcare, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2323 E Greenlaw Ln Ste 7b, Flagstaff, Arizona |
| Authorized Official Name and Position | Bevhion Beatrix Boudica (OWNER) |
| Authorized Official Contact | 9288636673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bevhion Boudica Family Healthcare, Pllc 2323 E Greenlaw Ln Ste 7b Flagstaff AZ 86004-1849 Ph: (928) 863-6673 | Bevhion Boudica Family Healthcare, Pllc 2323 E Greenlaw Ln Ste 7b Flagstaff AZ 86004-1849 Ph: (928) 863-6673 |
| NPI Number | 1912647405 |
|---|---|
| Provider Enumeration Date | 03/31/2022 |
| Last Update Date | 06/16/2023 |
| Medicare PECOS PAC ID | 0345628905 |
|---|---|
| Medicare Enrollment ID | O20220609002935 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912647405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Bevhion Beatrix Boudica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891326872 PECOS PAC ID: 7517398704 Enrollment ID: I20220609002889 |
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