Cerrone Family Healthcare, Llc | |
104 Quail Trl Ste B Edgewood NM 87015-7197 | |
(505) 926-9800 | |
Not Available |
Full Name | Cerrone Family Healthcare, Llc |
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Speciality | Family Medicine |
Location | 104 Quail Trl Ste B, Edgewood, New Mexico |
Authorized Official Name and Position | Ashley Autrey (MANGER) |
Authorized Official Contact | 5052491369 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cerrone Family Healthcare, Llc 104 Quail Trl Ste B Edgewood NM 87015-7197 Ph: (505) 926-9700 | Cerrone Family Healthcare, Llc 104 Quail Trl Ste B Edgewood NM 87015-7197 Ph: (505) 926-9800 |
NPI Number | 1790558880 |
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Provider Enumeration Date | 11/01/2023 |
Last Update Date | 11/08/2023 |
Medicare PECOS PAC ID | 7113375122 |
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Medicare Enrollment ID | O20231201001731 |
Identifier | Type | State | Issuer |
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1790558880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Lindsay Sue Cerrone |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861028102 PECOS PAC ID: 7719393495 Enrollment ID: I20210303002312 |
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