| Swpca Medical Practice | |
|
1950 W 3rd St Yuma AZ 85364-1812 | |
| (928) 276-4477 | |
| (928) 276-4481 |
| Full Name | Swpca Medical Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1950 W 3rd St, Yuma, Arizona |
| Authorized Official Name and Position | Trish Anguiz (OFFICE MANAGER) |
| Authorized Official Contact | 9282764477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swpca Medical Practice Po Box 2932 Yuma AZ 85366-2401 Ph: (928) 276-4477 | Swpca Medical Practice 1950 W 3rd St Yuma AZ 85364-1812 Ph: (928) 276-4477 |
| NPI Number | 1972105708 |
|---|---|
| Provider Enumeration Date | 11/16/2020 |
| Last Update Date | 07/09/2021 |
| Medicare PECOS PAC ID | 4981018843 |
|---|---|
| Medicare Enrollment ID | O20210204001195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972105708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Frances E Davison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336476621 PECOS PAC ID: 7315191020 Enrollment ID: I20130205000398 |
| Provider Name | April Louise Hann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730457011 PECOS PAC ID: 6709045412 Enrollment ID: I20130628000248 |
| Provider Name | Shauna H Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114363009 PECOS PAC ID: 6901031277 Enrollment ID: I20160721002327 |
| Provider Name | Shirley Waterhouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295042950 PECOS PAC ID: 4587833140 Enrollment ID: I20170713003366 |
| Provider Name | Terry Kulia Stevenson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184610800 PECOS PAC ID: 4981036746 Enrollment ID: I20191115001438 |
| Provider Name | Virginia Leigh Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548843352 PECOS PAC ID: 5991108961 Enrollment ID: I20210805003000 |
| Provider Name | Lea S Jerpseth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205403508 PECOS PAC ID: 6305984998 Enrollment ID: I20210805003713 |
| Provider Name | Miriam Elizabeth Espinoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073915633 PECOS PAC ID: 3577748003 Enrollment ID: I20210902003182 |
| Provider Name | Kristine Therese Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821735424 PECOS PAC ID: 7810373826 Enrollment ID: I20220928002609 |
| Provider Name | Michelle Lynn Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770963902 PECOS PAC ID: 7416264908 Enrollment ID: I20221209001302 |
| Provider Name | Racheal Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578344628 PECOS PAC ID: 4789021437 Enrollment ID: I20240318002536 |
| Provider Name | Valarie Ann Karr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497594238 PECOS PAC ID: 9739621533 Enrollment ID: I20240607002761 |
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