| Curana Health Medical Group Llc | |
|
8911 N Capital Of Texas Hwy Ste 1110 Austin TX 78759-7203 | |
| (337) 991-9276 | |
| (337) 943-0846 |
| Full Name | Curana Health Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8911 N Capital Of Texas Hwy Ste 1110, Austin, Texas |
| Authorized Official Name and Position | Nicole Howard (SR VP OF ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 3379919276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Curana Health Medical Group Llc 5750 Johnston St Ste 205 Lafayette LA 70503-5334 Ph: (337) 991-9276 | Curana Health Medical Group Llc 8911 N Capital Of Texas Hwy Ste 1110 Austin TX 78759-7203 Ph: (337) 991-9276 |
| NPI Number | 1255640678 |
|---|---|
| Provider Enumeration Date | 10/04/2010 |
| Last Update Date | 09/30/2024 |
| Medicare PECOS PAC ID | 9133304603 |
|---|---|
| Medicare Enrollment ID | O20110427000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255640678 | NPI | - | NPPES |
| 374353 | Other | TX | MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Texas) | Primary |
| 363L00000X | Nurse Practitioner | (Texas) | Secondary |
| Provider Name | Teresa Lynn Albright |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1427018969 PECOS PAC ID: 4486567765 Enrollment ID: I20031112000169 |
| Provider Name | Hugh M Tadlock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639132327 PECOS PAC ID: 3577469162 Enrollment ID: I20031212000499 |
| Provider Name | David A Brickey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003835620 PECOS PAC ID: 8628050671 Enrollment ID: I20040603000268 |
| Provider Name | Rebecca T Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174574842 PECOS PAC ID: 2961485933 Enrollment ID: I20040610000893 |
| Provider Name | Katharine A Cody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801846456 PECOS PAC ID: 5193709434 Enrollment ID: I20040615001107 |
| Provider Name | Donald C Frame |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518978121 PECOS PAC ID: 1153397856 Enrollment ID: I20040907000635 |
| Provider Name | Diana L Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649265331 PECOS PAC ID: 9133198336 Enrollment ID: I20040924000759 |
| Provider Name | Gina Desanto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871656298 PECOS PAC ID: 1052370616 Enrollment ID: I20041008000227 |
| Provider Name | Milton Shaw |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1346203007 PECOS PAC ID: 3678535879 Enrollment ID: I20041030000113 |
| Provider Name | Paula Requeijo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427084763 PECOS PAC ID: 8325003742 Enrollment ID: I20041124000853 |
| Provider Name | Gretchen Inman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1902911183 PECOS PAC ID: 1456316637 Enrollment ID: I20041130000333 |
| Provider Name | Liang Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730145160 PECOS PAC ID: 3678517810 Enrollment ID: I20050617000528 |
| Provider Name | Kendall A Britt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932138567 PECOS PAC ID: 7911935978 Enrollment ID: I20050801000223 |
| Provider Name | Aman A Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033132758 PECOS PAC ID: 3870527054 Enrollment ID: I20050927000380 |
| Provider Name | John C Salas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801812649 PECOS PAC ID: 6608879671 Enrollment ID: I20060811000065 |
| Provider Name | Migdalia Lopez Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376655316 PECOS PAC ID: 5193726818 Enrollment ID: I20070124000195 |
| Provider Name | Dana Racinskas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477574390 PECOS PAC ID: 3476554833 Enrollment ID: I20070126000655 |
| Provider Name | Valerie M Chavez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215985718 PECOS PAC ID: 3173525755 Enrollment ID: I20070212000053 |
| Provider Name | Joanna Lea Holle |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1932295367 PECOS PAC ID: 1658473426 Enrollment ID: I20070226000099 |
| Provider Name | Jolie Sanchez |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1679780639 PECOS PAC ID: 8325134075 Enrollment ID: I20071011000264 |
| Provider Name | Jennifer D Cameron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891751327 PECOS PAC ID: 6800846551 Enrollment ID: I20071126000261 |
| Provider Name | Reuben Tovar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174567705 PECOS PAC ID: 3577653534 Enrollment ID: I20071214000476 |
| Provider Name | Raycho G Kurkchijski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750309415 PECOS PAC ID: 3779546692 Enrollment ID: I20080117000130 |
| Provider Name | Lori L Palazzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083730873 PECOS PAC ID: 6709969363 Enrollment ID: I20080206000266 |
| Provider Name | Kelly H Grillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306851274 PECOS PAC ID: 9739125394 Enrollment ID: I20080212000014 |
| Provider Name | Evgenia G Slavcheva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477508448 PECOS PAC ID: 1658307384 Enrollment ID: I20080417000299 |
| Provider Name | Saleem M Oza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265443451 PECOS PAC ID: 8820176456 Enrollment ID: I20080423000406 |
| Provider Name | Mary Z Blackburn |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1699930628 PECOS PAC ID: 0446327233 Enrollment ID: I20080919000436 |
| Provider Name | Latha Tatineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487844957 PECOS PAC ID: 4486714235 Enrollment ID: I20081124000400 |
| Provider Name | Robert L Duhaney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922151588 PECOS PAC ID: 0840352738 Enrollment ID: I20081231000448 |
| Provider Name | Kamran Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629087531 PECOS PAC ID: 2961408901 Enrollment ID: I20090107000161 |
| Provider Name | Eric John Malsam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134316060 PECOS PAC ID: 6204999873 Enrollment ID: I20090107000612 |
| Provider Name | Ashley E Snook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255589719 PECOS PAC ID: 0749343630 Enrollment ID: I20090121000153 |
| Provider Name | Stacy Leigh Ginn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689825093 PECOS PAC ID: 6305900697 Enrollment ID: I20090202000103 |
| Provider Name | Fonshay Latrice Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588814263 PECOS PAC ID: 0840354833 Enrollment ID: I20090206000188 |
| Provider Name | Sameera Vohra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730370925 PECOS PAC ID: 8729135629 Enrollment ID: I20090410000171 |
| Provider Name | Elizabeth W Fomby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306805783 PECOS PAC ID: 5193872646 Enrollment ID: I20090420000623 |
| Provider Name | Antonio Gamboa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154356780 PECOS PAC ID: 2264468222 Enrollment ID: I20090508000318 |
| Provider Name | Neeraj Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205968757 PECOS PAC ID: 3779661343 Enrollment ID: I20091201000430 |
| Provider Name | Filippo Masciarelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639172430 PECOS PAC ID: 9032106091 Enrollment ID: I20100630000800 |
| Provider Name | Jessie M Mueller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578721882 PECOS PAC ID: 1759574742 Enrollment ID: I20101022000461 |
| Provider Name | Khanh Tung Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548209703 PECOS PAC ID: 6103810221 Enrollment ID: I20101104000293 |
| Provider Name | Michelle L Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346539558 PECOS PAC ID: 4385829068 Enrollment ID: I20110421000899 |
| Provider Name | Joshua Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356480388 PECOS PAC ID: 4981741816 Enrollment ID: I20110727000655 |
| Provider Name | Sandra K Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497040943 PECOS PAC ID: 9830368414 Enrollment ID: I20110816000852 |
| Provider Name | Praveen Rapolu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578572616 PECOS PAC ID: 6608870795 Enrollment ID: I20111103000646 |
| Provider Name | Shannon J Flesher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174802169 PECOS PAC ID: 0547433765 Enrollment ID: I20111104000045 |
| Provider Name | Jeremy L Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144557679 PECOS PAC ID: 2769656628 Enrollment ID: I20111111000114 |
| Provider Name | Heidi S Booth |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1144512070 PECOS PAC ID: 0244403236 Enrollment ID: I20111129000620 |
| Provider Name | David B Blomstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497929236 PECOS PAC ID: 4587831474 Enrollment ID: I20120117000759 |
| Provider Name | Asif S Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376595611 PECOS PAC ID: 3779570890 Enrollment ID: I20120301000858 |
| Provider Name | Jody Michael Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033480520 PECOS PAC ID: 5092974865 Enrollment ID: I20120314000409 |
| Provider Name | Sunil C Kolli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396704870 PECOS PAC ID: 4082678602 Enrollment ID: I20120404000591 |
| Provider Name | John Ibarra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881606408 PECOS PAC ID: 2961407697 Enrollment ID: I20120514000225 |
| Provider Name | Brian Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366678963 PECOS PAC ID: 0547426223 Enrollment ID: I20120724000941 |
| Provider Name | Brian B Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598886954 PECOS PAC ID: 9830355486 Enrollment ID: I20120725000900 |
| Provider Name | Loveleen Kaur Somal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285865915 PECOS PAC ID: 0547416489 Enrollment ID: I20120809000293 |
| Provider Name | Christine L Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245501170 PECOS PAC ID: 2769642255 Enrollment ID: I20120820000516 |
| Provider Name | Candace Jean Mattson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649528241 PECOS PAC ID: 9830346360 Enrollment ID: I20120905000640 |
| Provider Name | Michael David Emery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679821292 PECOS PAC ID: 2668629114 Enrollment ID: I20120906000023 |
| Provider Name | Lisa M Deboer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144548603 PECOS PAC ID: 5890944474 Enrollment ID: I20120926000393 |
| Provider Name | Michael Katherine Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821227653 PECOS PAC ID: 0143474783 Enrollment ID: I20130206000294 |
| Provider Name | Stacey Janelle Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407191554 PECOS PAC ID: 4981859113 Enrollment ID: I20130219000372 |
| Provider Name | Litty R Vadakkan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477807774 PECOS PAC ID: 1951546183 Enrollment ID: I20130318000321 |
| Provider Name | Mauricio Pinto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881860724 PECOS PAC ID: 8224286182 Enrollment ID: I20130326000310 |
| Provider Name | Lisa M Scrimpsher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871848127 PECOS PAC ID: 1951540400 Enrollment ID: I20130613000648 |
| Provider Name | Rebekah Solis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225308133 PECOS PAC ID: 7315186731 Enrollment ID: I20130615000114 |
| Provider Name | Teresa Ann Kacerguis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043575806 PECOS PAC ID: 2466600069 Enrollment ID: I20130624000627 |
| Provider Name | Laura Martinez-colon |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1164869285 PECOS PAC ID: 5496995607 Enrollment ID: I20130711000819 |
| Provider Name | Patricia Martinez Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366886996 PECOS PAC ID: 8628211828 Enrollment ID: I20130906000185 |
| Provider Name | Jacqueline Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942634175 PECOS PAC ID: 0446485247 Enrollment ID: I20131104000532 |
| Provider Name | John Tyree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477995769 PECOS PAC ID: 6800022039 Enrollment ID: I20131119000047 |
| Provider Name | Laura S Whitson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922435858 PECOS PAC ID: 1153558721 Enrollment ID: I20131206000312 |
| Provider Name | Jennifer Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235553553 PECOS PAC ID: 8224269105 Enrollment ID: I20140317001719 |
| Provider Name | David Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922435759 PECOS PAC ID: 2365673464 Enrollment ID: I20140402000884 |
| Provider Name | Brittany Bohl Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043647696 PECOS PAC ID: 3476785650 Enrollment ID: I20140423000437 |
| Provider Name | Satya S Chalasani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346408325 PECOS PAC ID: 0345429858 Enrollment ID: I20140715000536 |
| Provider Name | Alok Desh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780979823 PECOS PAC ID: 7618193194 Enrollment ID: I20140717002137 |
| Provider Name | Ibrahim Mansour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578807590 PECOS PAC ID: 4082834841 Enrollment ID: I20140930002154 |
| Provider Name | James Kinser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043629611 PECOS PAC ID: 7315167467 Enrollment ID: I20141013001746 |
| Provider Name | Stephanie Poonawala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285034223 PECOS PAC ID: 8820219769 Enrollment ID: I20141018000120 |
| Provider Name | Joy M Denman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144637257 PECOS PAC ID: 8628299955 Enrollment ID: I20141029001916 |
| Provider Name | Crystal B Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750790556 PECOS PAC ID: 2365664414 Enrollment ID: I20141105002054 |
| Provider Name | Julie Stockwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861748113 PECOS PAC ID: 8325297708 Enrollment ID: I20141208001933 |
| Provider Name | Michelle S Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083018394 PECOS PAC ID: 1254653835 Enrollment ID: I20141210001201 |
| Provider Name | Stacye H Dick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124455118 PECOS PAC ID: 6800835588 Enrollment ID: I20150204001955 |
| Provider Name | Muhaned Alsaedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417389206 PECOS PAC ID: 6709101009 Enrollment ID: I20150209000683 |
| Provider Name | Mark Prange |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871607820 PECOS PAC ID: 4981866829 Enrollment ID: I20150218000320 |
| Provider Name | Adam Kirk Brittain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760641732 PECOS PAC ID: 9537484365 Enrollment ID: I20150218002215 |
| Provider Name | Sumbal K Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851314421 PECOS PAC ID: 8426215237 Enrollment ID: I20150306000831 |
| Provider Name | Prasanna Basnet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134511017 PECOS PAC ID: 2860712643 Enrollment ID: I20150519000483 |
| Provider Name | Beverly A Butler |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1194117119 PECOS PAC ID: 4981916756 Enrollment ID: I20150708000412 |
| Provider Name | Kelly Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053793364 PECOS PAC ID: 6800102179 Enrollment ID: I20150901001567 |
| Provider Name | Amanda Leann Carlisle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942681127 PECOS PAC ID: 4587971858 Enrollment ID: I20150918001078 |
| Provider Name | Alexis Santangelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881078624 PECOS PAC ID: 2264740497 Enrollment ID: I20151007002081 |
| Provider Name | Hatim F Chhatriwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649427618 PECOS PAC ID: 8022169945 Enrollment ID: I20151014002727 |
| Provider Name | Bailey Elizabeth Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942685300 PECOS PAC ID: 8820308869 Enrollment ID: I20151104000399 |
| Provider Name | Poornima Katta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588045900 PECOS PAC ID: 4082924964 Enrollment ID: I20151104002404 |
| Provider Name | Michele Lee Kent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619346442 PECOS PAC ID: 4688984222 Enrollment ID: I20151110002305 |
| Provider Name | Kristin Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164801965 PECOS PAC ID: 2365742160 Enrollment ID: I20151201000947 |
| Provider Name | Paul Bahal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114205069 PECOS PAC ID: 8729210802 Enrollment ID: I20151208000438 |
| Provider Name | Christopher Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881065357 PECOS PAC ID: 2860793197 Enrollment ID: I20151210001992 |
| Provider Name | Bethany J Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194195792 PECOS PAC ID: 3375844269 Enrollment ID: I20151218000168 |
| Provider Name | Sandra Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891166161 PECOS PAC ID: 5395047328 Enrollment ID: I20160108000334 |
| Provider Name | Heather Tvinnereim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841660180 PECOS PAC ID: 0648572255 Enrollment ID: I20160113001050 |
| Provider Name | Reena Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710357538 PECOS PAC ID: 8022312685 Enrollment ID: I20160202002676 |
| Provider Name | Leslie D Sheffield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538532528 PECOS PAC ID: 5799089157 Enrollment ID: I20160204000799 |
| Provider Name | Kelly Aller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235509704 PECOS PAC ID: 2668777301 Enrollment ID: I20160218000302 |
| Provider Name | Sharmila Lakhani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891152377 PECOS PAC ID: 1456656024 Enrollment ID: I20160218001700 |
| Provider Name | Bhawana Bista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578812434 PECOS PAC ID: 9032333554 Enrollment ID: I20160606000067 |
| Provider Name | Sarah Elizabeth Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720442197 PECOS PAC ID: 4486945482 Enrollment ID: I20160622001702 |
| Provider Name | Pauline Otieno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790130292 PECOS PAC ID: 0547552911 Enrollment ID: I20160705000988 |
| Provider Name | Mary Clifford Philips |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356784417 PECOS PAC ID: 1759510423 Enrollment ID: I20161015000001 |
| Provider Name | Jose Martin Cardenas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356755342 PECOS PAC ID: 1759669591 Enrollment ID: I20161028000773 |
| Provider Name | Anna L Antu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942574991 PECOS PAC ID: 0244518777 Enrollment ID: I20161103000484 |
| Provider Name | Dawn K Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417254848 PECOS PAC ID: 4880872449 Enrollment ID: I20161111000678 |
| Provider Name | Angela Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295183358 PECOS PAC ID: 8527348820 Enrollment ID: I20161202000492 |
| Provider Name | Paul Bradley |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1134673494 PECOS PAC ID: 3476833781 Enrollment ID: I20161202000778 |
| Provider Name | Chaina Adhikari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275088544 PECOS PAC ID: 5799065009 Enrollment ID: I20161202000972 |
| Provider Name | Samara M Mcwilliams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053868661 PECOS PAC ID: 7719267475 Enrollment ID: I20161215000633 |
| Provider Name | Bobbie Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659823516 PECOS PAC ID: 9133400690 Enrollment ID: I20161221002042 |
| Provider Name | Sheritha Chambliss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235680406 PECOS PAC ID: 5597046789 Enrollment ID: I20161230000682 |
| Provider Name | Marquita M Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346785565 PECOS PAC ID: 4587947908 Enrollment ID: I20170209001579 |
| Provider Name | Michael Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588110985 PECOS PAC ID: 2466735436 Enrollment ID: I20170217000492 |
| Provider Name | Shannon L Perryman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104299155 PECOS PAC ID: 8426355751 Enrollment ID: I20170403001098 |
| Provider Name | Roberto M Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497291736 PECOS PAC ID: 7012293848 Enrollment ID: I20170411000575 |
| Provider Name | Kimberly M Hastings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407383748 PECOS PAC ID: 2466729868 Enrollment ID: I20170606000395 |
| Provider Name | Angela J. Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598291528 PECOS PAC ID: 9830468230 Enrollment ID: I20170628001097 |
| Provider Name | Joseph J Sclafani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902001647 PECOS PAC ID: 5193977551 Enrollment ID: I20170718000947 |
| Provider Name | Marquitta L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669844775 PECOS PAC ID: 1658643523 Enrollment ID: I20170828002380 |
| Provider Name | Joely Thornhill Schroder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083050835 PECOS PAC ID: 6608015680 Enrollment ID: I20170907000322 |
| Provider Name | Lori Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639691454 PECOS PAC ID: 6507139920 Enrollment ID: I20170907000697 |
| Provider Name | Natalie Elizabeth Wald |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1497271084 PECOS PAC ID: 5698972263 Enrollment ID: I20170926001845 |
| Provider Name | Seyrah Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316457385 PECOS PAC ID: 3476829276 Enrollment ID: I20171023002576 |
| Provider Name | Ligia Tofanel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578075081 PECOS PAC ID: 5890053656 Enrollment ID: I20171227002601 |
| Provider Name | Susanna Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871008045 PECOS PAC ID: 8022376656 Enrollment ID: I20180103000610 |
| Provider Name | Stellamaris E Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306355375 PECOS PAC ID: 0244599249 Enrollment ID: I20180122000210 |
| Provider Name | Liliana Gamino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669990537 PECOS PAC ID: 4587923297 Enrollment ID: I20180125000577 |
| Provider Name | Vivek Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508123134 PECOS PAC ID: 9436462462 Enrollment ID: I20180213001974 |
| Provider Name | Huy Duc Do |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679890099 PECOS PAC ID: 5496904104 Enrollment ID: I20180410000527 |
| Provider Name | Injala Thapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386148690 PECOS PAC ID: 2466716964 Enrollment ID: I20180509002333 |
| Provider Name | Cheyenne Noel Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538659917 PECOS PAC ID: 5597020420 Enrollment ID: I20180524001840 |
| Provider Name | Sangeetha Rajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043599178 PECOS PAC ID: 7719104181 Enrollment ID: I20180529003098 |
| Provider Name | Amanda L. Marek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740729615 PECOS PAC ID: 3870869316 Enrollment ID: I20180606001917 |
| Provider Name | Emmanuel Rodriguez-vargas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992144414 PECOS PAC ID: 8224393517 Enrollment ID: I20180608000153 |
| Provider Name | Erin Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700376183 PECOS PAC ID: 6204183981 Enrollment ID: I20180726001498 |
| Provider Name | Devaun Sheppard Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982190757 PECOS PAC ID: 0749538973 Enrollment ID: I20180806000275 |
| Provider Name | Muhammad Omar Jamil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356647978 PECOS PAC ID: 4789828732 Enrollment ID: I20180806001084 |
| Provider Name | Sashoya Streete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083115505 PECOS PAC ID: 6507114345 Enrollment ID: I20180809005895 |
| Provider Name | Ramesh Kumar Tentu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376898098 PECOS PAC ID: 6002056942 Enrollment ID: I20180814000448 |
| Provider Name | Zoe Finch Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588153340 PECOS PAC ID: 7911256524 Enrollment ID: I20180815001003 |
| Provider Name | Anil Rathi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215321492 PECOS PAC ID: 0244589877 Enrollment ID: I20180815002086 |
| Provider Name | Behnam Majd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588044358 PECOS PAC ID: 9638464530 Enrollment ID: I20180914000485 |
| Provider Name | Tammy Lawrence Ralston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750880639 PECOS PAC ID: 7517218217 Enrollment ID: I20180919001826 |
| Provider Name | Christina A Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609399989 PECOS PAC ID: 7618237884 Enrollment ID: I20181204003846 |
| Provider Name | Jamie Valencia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669940268 PECOS PAC ID: 5496099830 Enrollment ID: I20181212000136 |
| Provider Name | Harold Coulter Salmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710455811 PECOS PAC ID: 0143565309 Enrollment ID: I20181218000097 |
| Provider Name | Sonia S Shivani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891220505 PECOS PAC ID: 8820356918 Enrollment ID: I20190108000585 |
| Provider Name | Aricela M Lujan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669942876 PECOS PAC ID: 4789921891 Enrollment ID: I20190128002994 |
| Provider Name | Bachar Elsaadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326421918 PECOS PAC ID: 9931448685 Enrollment ID: I20190225002405 |
| Provider Name | Melanie Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609353978 PECOS PAC ID: 5395084735 Enrollment ID: I20190304000480 |
| Provider Name | Amy Lee Mcgowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619433299 PECOS PAC ID: 7012257868 Enrollment ID: I20190314001311 |
| Provider Name | Aditya Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568879948 PECOS PAC ID: 6709152820 Enrollment ID: I20190410000151 |
| Provider Name | Sandra Franco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982164455 PECOS PAC ID: 8527301548 Enrollment ID: I20190515000555 |
| Provider Name | Desiree Elise Norwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740747807 PECOS PAC ID: 6002149226 Enrollment ID: I20190603002424 |
| Provider Name | Christine M Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609331529 PECOS PAC ID: 3072846658 Enrollment ID: I20190613001913 |
| Provider Name | Douglas Prescott Stearns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417515495 PECOS PAC ID: 9436483559 Enrollment ID: I20190624002971 |
| Provider Name | Andra Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710547088 PECOS PAC ID: 4587990049 Enrollment ID: I20190723000493 |
| Provider Name | Farhan S Abdullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124445259 PECOS PAC ID: 6103196316 Enrollment ID: I20190723001042 |
| Provider Name | Emily Henigman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568023281 PECOS PAC ID: 8325374796 Enrollment ID: I20190723001231 |
| Provider Name | Abigail Elizabeth Saldua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972165835 PECOS PAC ID: 8527394550 Enrollment ID: I20190729000808 |
| Provider Name | Laura Mcginnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689178451 PECOS PAC ID: 9638405517 Enrollment ID: I20190730004013 |
| Provider Name | Lauren Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588226195 PECOS PAC ID: 6204164015 Enrollment ID: I20190817000306 |
| Provider Name | Sage Parson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649823360 PECOS PAC ID: 1456689470 Enrollment ID: I20190828002002 |
| Provider Name | Ashley Danielle Edmondson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215409065 PECOS PAC ID: 1052641719 Enrollment ID: I20190923001289 |
| Provider Name | Vanessa Barlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437706132 PECOS PAC ID: 9335470327 Enrollment ID: I20191004001888 |
| Provider Name | Ashlyn Elyse Thom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083264808 PECOS PAC ID: 0749511657 Enrollment ID: I20191008000352 |
| Provider Name | Shadi Khir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902160534 PECOS PAC ID: 4486969797 Enrollment ID: I20191021002688 |
| Provider Name | Asha Suresh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053961888 PECOS PAC ID: 0547592727 Enrollment ID: I20191022001456 |
| Provider Name | Katelyn Roth |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1184277444 PECOS PAC ID: 0547592875 Enrollment ID: I20191105002988 |
| Provider Name | Tiffany I Borromeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386107977 PECOS PAC ID: 7911339486 Enrollment ID: I20191121002016 |
| Provider Name | Coreen Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952957722 PECOS PAC ID: 6608209861 Enrollment ID: I20191203000816 |
| Provider Name | Michelle Ebong Jackson-tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053872036 PECOS PAC ID: 6305279290 Enrollment ID: I20191206001688 |
| Provider Name | Seresa L Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891345385 PECOS PAC ID: 2860825791 Enrollment ID: I20191209000289 |
| Provider Name | Shawn Louise Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376192609 PECOS PAC ID: 5597199042 Enrollment ID: I20191217000369 |
| Provider Name | Lesa Marie Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487291951 PECOS PAC ID: 7517391394 Enrollment ID: I20200103000456 |
| Provider Name | Vivian Sule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679135941 PECOS PAC ID: 9537594239 Enrollment ID: I20200125000227 |
| Provider Name | Deepa Gaba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023657566 PECOS PAC ID: 5597191627 Enrollment ID: I20200207000984 |
| Provider Name | Eve Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215453006 PECOS PAC ID: 8022445246 Enrollment ID: I20200228001691 |
| Provider Name | Hui Gao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093158933 PECOS PAC ID: 3779879770 Enrollment ID: I20200304001151 |
| Provider Name | Tina Shenouda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326386996 PECOS PAC ID: 9537397872 Enrollment ID: I20200330003635 |
| Provider Name | Cynthia Carmona Yanez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346878998 PECOS PAC ID: 8628408663 Enrollment ID: I20200415002053 |
| Provider Name | Andrea Michelle Levrets |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396370425 PECOS PAC ID: 1456659689 Enrollment ID: I20200728003023 |
| Provider Name | Gay Lynn Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366050783 PECOS PAC ID: 0042635468 Enrollment ID: I20200803000636 |
| Provider Name | Andrea Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699255091 PECOS PAC ID: 0547514846 Enrollment ID: I20200820000805 |
| Provider Name | Jasmine Javadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144674136 PECOS PAC ID: 7012335235 Enrollment ID: I20200918002415 |
| Provider Name | Sarah Beth Wilke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144848516 PECOS PAC ID: 7012336779 Enrollment ID: I20200929002810 |
| Provider Name | Marian Nichole Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669021184 PECOS PAC ID: 6507276805 Enrollment ID: I20201027002128 |
| Provider Name | Jon Braden Debault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225636996 PECOS PAC ID: 5294145397 Enrollment ID: I20201030001271 |
| Provider Name | Mini Paiyappally Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265048730 PECOS PAC ID: 5799196234 Enrollment ID: I20201204001112 |
| Provider Name | Patience Effanga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457607780 PECOS PAC ID: 0042622565 Enrollment ID: I20201207002059 |
| Provider Name | Whitney Dene Rutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972107977 PECOS PAC ID: 6305258864 Enrollment ID: I20201208000551 |
| Provider Name | Sativa M. Lackey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639795131 PECOS PAC ID: 3971916495 Enrollment ID: I20201230001052 |
| Provider Name | Rosa Cervantes-hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942789243 PECOS PAC ID: 8224376694 Enrollment ID: I20210216003031 |
| Provider Name | Sheila Denise Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265087027 PECOS PAC ID: 8729495361 Enrollment ID: I20210329000942 |
| Provider Name | Timothy Hilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376062794 PECOS PAC ID: 5890050652 Enrollment ID: I20210330002186 |
| Provider Name | Ashley Mae Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174108401 PECOS PAC ID: 9830506286 Enrollment ID: I20210331000928 |
| Provider Name | Kellie Soria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801496328 PECOS PAC ID: 7810305844 Enrollment ID: I20210412002695 |
| Provider Name | Breion Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992264360 PECOS PAC ID: 7012325434 Enrollment ID: I20210422002398 |
| Provider Name | Vanessa Ngotel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891377545 PECOS PAC ID: 2062820277 Enrollment ID: I20210427002357 |
| Provider Name | Tawnya Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376920041 PECOS PAC ID: 5597010959 Enrollment ID: I20210427002434 |
| Provider Name | Dominique Pinilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124103965 PECOS PAC ID: 4880604446 Enrollment ID: I20210720004166 |
| Provider Name | Emma Broussard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306419015 PECOS PAC ID: 7315341179 Enrollment ID: I20210802002381 |
| Provider Name | Tiffany Renee Stage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578237442 PECOS PAC ID: 1153726013 Enrollment ID: I20210817000020 |
| Provider Name | Sara Susan Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346560273 PECOS PAC ID: 4587804562 Enrollment ID: I20210830001789 |
| Provider Name | Whitney Cutler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548935794 PECOS PAC ID: 1456757665 Enrollment ID: I20210913002603 |
| Provider Name | Felicity Jewell Way |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659905305 PECOS PAC ID: 7911304662 Enrollment ID: I20210922001597 |
| Provider Name | Anika Dhounasalia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033887955 PECOS PAC ID: 5890192512 Enrollment ID: I20210923000820 |
| Provider Name | Miriam Aidee Quiroga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588205876 PECOS PAC ID: 9931506672 Enrollment ID: I20210923001471 |
| Provider Name | Binu Sugunan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922147941 PECOS PAC ID: 7719045913 Enrollment ID: I20210924002142 |
| Provider Name | Lovely Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164198313 PECOS PAC ID: 8820495294 Enrollment ID: I20210928001128 |
| Provider Name | Eva Charo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538766290 PECOS PAC ID: 2860890894 Enrollment ID: I20211006000456 |
| Provider Name | Kristen Pulido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881365690 PECOS PAC ID: 1052700408 Enrollment ID: I20211105001529 |
| Provider Name | Molly Dee Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629647706 PECOS PAC ID: 7012306475 Enrollment ID: I20211105001742 |
| Provider Name | Lauren Elizabeth Perks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841955903 PECOS PAC ID: 2668861477 Enrollment ID: I20211117001525 |
| Provider Name | Annie Bomer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497330617 PECOS PAC ID: 3678963063 Enrollment ID: I20211129000538 |
| Provider Name | Scherrie Redmon Ahlgren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376210427 PECOS PAC ID: 2062802408 Enrollment ID: I20211129002651 |
| Provider Name | Elizabeth Amy Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720745821 PECOS PAC ID: 4789074618 Enrollment ID: I20211207001938 |
| Provider Name | Kathryn Ogg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679230619 PECOS PAC ID: 9133519069 Enrollment ID: I20211207001956 |
| Provider Name | Claudia Ngumfor Neba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619648201 PECOS PAC ID: 0143610097 Enrollment ID: I20211208000654 |
| Provider Name | Belinda M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316120751 PECOS PAC ID: 7810388378 Enrollment ID: I20211217001035 |
| Provider Name | Yu Zhong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780343764 PECOS PAC ID: 4486046554 Enrollment ID: I20220121001965 |
| Provider Name | Kristen Ann Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295495844 PECOS PAC ID: 1759773765 Enrollment ID: I20220125003191 |
| Provider Name | Arlene Gabarda Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902552656 PECOS PAC ID: 9638563778 Enrollment ID: I20220307000273 |
| Provider Name | Jessica Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447907407 PECOS PAC ID: 3678968955 Enrollment ID: I20220323002186 |
| Provider Name | Ester Espiritu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104574490 PECOS PAC ID: 8921494600 Enrollment ID: I20220405002474 |
| Provider Name | Brianne Lynn Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922748433 PECOS PAC ID: 9830585025 Enrollment ID: I20220418000298 |
| Provider Name | Leela Anita Gupta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497417612 PECOS PAC ID: 6204223373 Enrollment ID: I20220420002615 |
| Provider Name | Smitha Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922769868 PECOS PAC ID: 8426445289 Enrollment ID: I20220425002383 |
| Provider Name | Janet Jaime |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891214110 PECOS PAC ID: 3072873090 Enrollment ID: I20220428001455 |
| Provider Name | Vance Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780324442 PECOS PAC ID: 8224036157 Enrollment ID: I20220507000208 |
| Provider Name | Ashlea Gillick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497326979 PECOS PAC ID: 6901202258 Enrollment ID: I20220517001764 |
| Provider Name | Charlotte A Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003551474 PECOS PAC ID: 1951789247 Enrollment ID: I20220526002654 |
| Provider Name | Amber Dawn Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992440002 PECOS PAC ID: 2365821899 Enrollment ID: I20220614000620 |
| Provider Name | Laquinta L Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235746728 PECOS PAC ID: 9234518986 Enrollment ID: I20220627001323 |
| Provider Name | Chloe Mae Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609511989 PECOS PAC ID: 6800275413 Enrollment ID: I20220628000221 |
| Provider Name | Candace L Blauser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104550425 PECOS PAC ID: 7416339957 Enrollment ID: I20220801001443 |
| Provider Name | Catherine L. Munica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336746825 PECOS PAC ID: 1254728132 Enrollment ID: I20220804000180 |
| Provider Name | Nkechinyere Udenyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073684783 PECOS PAC ID: 5799887097 Enrollment ID: I20220811002495 |
| Provider Name | Whitney Elayne White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659016525 PECOS PAC ID: 0547643827 Enrollment ID: I20220818003434 |
| Provider Name | Zahra Darbandi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447900840 PECOS PAC ID: 3870977861 Enrollment ID: I20220824002827 |
| Provider Name | Wangari Rachel Steinberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033859806 PECOS PAC ID: 4284013095 Enrollment ID: I20220919002951 |
| Provider Name | Emily Elizabeth Jagmin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336861343 PECOS PAC ID: 9739555913 Enrollment ID: I20221012002882 |
| Provider Name | Kornelia M Triplett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558009498 PECOS PAC ID: 4486020625 Enrollment ID: I20221013000973 |
| Provider Name | Danielle Bergdahl Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427774249 PECOS PAC ID: 0941677306 Enrollment ID: I20221028000064 |
| Provider Name | Stella E Yonga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669087607 PECOS PAC ID: 7416362918 Enrollment ID: I20221028001308 |
| Provider Name | Carline Ifeoma Uwajeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902561608 PECOS PAC ID: 3072980952 Enrollment ID: I20221107000250 |
| Provider Name | Robin C. Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124093687 PECOS PAC ID: 5496782799 Enrollment ID: I20221208002491 |
| Provider Name | Heena Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518681139 PECOS PAC ID: 0749659670 Enrollment ID: I20221215000355 |
| Provider Name | Prasanna K Marpu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407176159 PECOS PAC ID: 4486823556 Enrollment ID: I20221215001963 |
| Provider Name | Sarah Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952016529 PECOS PAC ID: 5597137216 Enrollment ID: I20230207000499 |
| Provider Name | Ma Fe Talamor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861119729 PECOS PAC ID: 1951773209 Enrollment ID: I20230214002099 |
| Provider Name | Lindsay Michelle Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982300505 PECOS PAC ID: 1951774884 Enrollment ID: I20230223002994 |
| Provider Name | Natasha Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215663273 PECOS PAC ID: 9537532932 Enrollment ID: I20230306002611 |
| Provider Name | Alyssa Lyn Bullard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922700939 PECOS PAC ID: 6507221520 Enrollment ID: I20230426003263 |
| Provider Name | Dekedria Cleveland-turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144809518 PECOS PAC ID: 4183080252 Enrollment ID: I20230515002887 |
| Provider Name | Michelle Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003550369 PECOS PAC ID: 1557729845 Enrollment ID: I20230619000839 |
| Provider Name | Angel Cherian Vattakunnel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174217913 PECOS PAC ID: 9335508035 Enrollment ID: I20230628003035 |
| Provider Name | Ojochide Jessica Alfa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720791023 PECOS PAC ID: 3678932936 Enrollment ID: I20230705000574 |
| Provider Name | Siobhan Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982388765 PECOS PAC ID: 1355701293 Enrollment ID: I20230724002514 |
| Provider Name | Lynda R Woodall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477231397 PECOS PAC ID: 8729440839 Enrollment ID: I20230821002847 |
| Provider Name | Dana Wiley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427006808 PECOS PAC ID: 5799726923 Enrollment ID: I20230921001135 |
| Provider Name | Lanh Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164208989 PECOS PAC ID: 5698129468 Enrollment ID: I20230927002688 |
| Provider Name | Precious Ginigeme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326728114 PECOS PAC ID: 5193179984 Enrollment ID: I20230927003429 |
| Provider Name | Salve C Tawaran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497532782 PECOS PAC ID: 0941656995 Enrollment ID: I20231026002693 |
| Provider Name | Alexandra Knudson Bleasdell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023898129 PECOS PAC ID: 2264889708 Enrollment ID: I20231106002019 |
| Provider Name | Melbys Beatriz Bedor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588436513 PECOS PAC ID: 3375990070 Enrollment ID: I20231116002005 |
| Provider Name | Tiphani Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053191569 PECOS PAC ID: 0840649323 Enrollment ID: I20231208002273 |
| Provider Name | Jake Moye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689454944 PECOS PAC ID: 5496105942 Enrollment ID: I20231222002885 |
| Provider Name | Zachary Coston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194307322 PECOS PAC ID: 7517366925 Enrollment ID: I20240112003661 |
| Provider Name | Leah Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114649647 PECOS PAC ID: 7214389840 Enrollment ID: I20240119001309 |
| Provider Name | Pat Bass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952321820 PECOS PAC ID: 2163614488 Enrollment ID: I20240212002316 |
| Provider Name | Bridget Nore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306508262 PECOS PAC ID: 8426447988 Enrollment ID: I20240223003443 |
| Provider Name | Kristen Beth Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932967833 PECOS PAC ID: 2264870021 Enrollment ID: I20240329002161 |
| Provider Name | Krista Pritchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780203075 PECOS PAC ID: 7315343571 Enrollment ID: I20240422001757 |
| Provider Name | Ruth Seeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295392421 PECOS PAC ID: 3779818737 Enrollment ID: I20240422001892 |
| Provider Name | Sydney Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780455436 PECOS PAC ID: 8426498031 Enrollment ID: I20240430002540 |
| Provider Name | Shiva Pejman-aryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710738539 PECOS PAC ID: 6002256641 Enrollment ID: I20240430003737 |
| Provider Name | Billie Nanette Corwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881446631 PECOS PAC ID: 4385085364 Enrollment ID: I20240508000865 |
| Provider Name | Mia Stroble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215575956 PECOS PAC ID: 7618398918 Enrollment ID: I20240508003538 |
| Provider Name | Marina Solomonova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649027301 PECOS PAC ID: 7719328277 Enrollment ID: I20240515000661 |
| Provider Name | Aya Akid |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1528748035 PECOS PAC ID: 9032551593 Enrollment ID: I20240529002948 |
| Provider Name | Ambili Np Pratheep |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215780036 PECOS PAC ID: 8224570130 Enrollment ID: I20240606003395 |
Harold D Lewis Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 West William Cannon Drive, Suite 123, Austin, TX 78745 Phone: 512-444-2661 Fax: 512-444-2720 | |
Julie Graves Moy Md Mph Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8127 Mesa Dr, B206-54, Austin, TX 78759 Phone: 512-689-8001 | |
Edie E. Shulman M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11673 Jollyville Rd., Suite B-101, Austin, TX 78759 Phone: 512-339-1535 Fax: 512-339-1526 | |
El Buen Samaritano Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7000 Woodhue Dr, Austin, TX 78745 Phone: 512-439-0701 | |
Concentra Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10001 S Ih 35 Ste 300, Austin, TX 78747 Phone: 512-440-0555 Fax: 214-775-4502 | |
Texas Medclinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9900 S Ih 35, Austin, TX 78748 Phone: 512-291-5577 Fax: 512-291-5576 | |
Doctx3 Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 W Slaughter Ln, Suite 300, Austin, TX 78748 Phone: 469-277-8253 |