Health First Adventhealth Centra Care | |
2600 Westhall Ln Maitland FL 32751-7102 | |
(407) 200-2300 | |
Not Available |
Full Name | Health First Adventhealth Centra Care |
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Speciality | Clinic/Center |
Location | 2600 Westhall Ln, Maitland, Florida |
Authorized Official Name and Position | Scott C. Brady (PRESIDENT) |
Authorized Official Contact | 4072002300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Health First Adventhealth Centra Care 2600 Westhall Ln Ste 300 Maitland FL 32751-7107 Ph: (407) 200-2300 | Health First Adventhealth Centra Care 2600 Westhall Ln Maitland FL 32751-7102 Ph: (407) 200-2300 |
NPI Number | 1295367290 |
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Provider Enumeration Date | 02/07/2020 |
Last Update Date | 04/20/2023 |
Medicare PECOS PAC ID | 6002238714 |
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Medicare Enrollment ID | O20200626000122 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295367290 | NPI | - | NPPES |
105815704 | Medicaid | FL | |
MQ224 | Other | FL | MEDICARE |
105815701 | Medicaid | FL | |
105815700 | Medicaid | FL | |
105815702 | Medicaid | FL | |
105815703 | Medicaid | FL |
Provider Name | Bettye A Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558458729 PECOS PAC ID: 1052212727 Enrollment ID: I20040115000936 |
Provider Name | Joshua Kolanko |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821086745 PECOS PAC ID: 8224029608 Enrollment ID: I20040524000595 |
Provider Name | Steven W Cohen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518018142 PECOS PAC ID: 5395781215 Enrollment ID: I20050630000887 |
Provider Name | Pamela R Griffin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609848506 PECOS PAC ID: 5890712467 Enrollment ID: I20051102000351 |
Provider Name | Carlos A Ramirez Blessing |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093759219 PECOS PAC ID: 3072615202 Enrollment ID: I20070219000587 |
Provider Name | Zhandra Wright |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528217346 PECOS PAC ID: 9931264603 Enrollment ID: I20090212000139 |
Provider Name | Timothy W Hendrix |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851405401 PECOS PAC ID: 4789708587 Enrollment ID: I20100831000865 |
Provider Name | Stanley B. Ellis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609943174 PECOS PAC ID: 2567588619 Enrollment ID: I20100925000293 |
Provider Name | Jennifer E Angell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689894149 PECOS PAC ID: 2668565177 Enrollment ID: I20101008001119 |
Provider Name | Noel Perez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447560040 PECOS PAC ID: 8426227307 Enrollment ID: I20110810000325 |
Provider Name | Houman Bolourian |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124150396 PECOS PAC ID: 5991871600 Enrollment ID: I20120716000450 |
Provider Name | Rachel M Dailey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164861951 PECOS PAC ID: 7113169566 Enrollment ID: I20130814000362 |
Provider Name | Scott William Vanlue |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174649412 PECOS PAC ID: 4385867985 Enrollment ID: I20140529001699 |
Provider Name | Phrancesca Desauguste |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881826527 PECOS PAC ID: 4880812478 Enrollment ID: I20140822001604 |
Provider Name | Stephanie L Battaglini |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003229139 PECOS PAC ID: 6002034196 Enrollment ID: I20140903000963 |
Provider Name | Opeyemi Aina White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528491370 PECOS PAC ID: 5698994309 Enrollment ID: I20140911000969 |
Provider Name | Clyde Blaylock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154738821 PECOS PAC ID: 1850510082 Enrollment ID: I20140919001197 |
Provider Name | Sharron Mcdonald |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659631315 PECOS PAC ID: 4183935034 Enrollment ID: I20150618000803 |
Provider Name | Vanessa Philman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093189300 PECOS PAC ID: 9436452570 Enrollment ID: I20160122000773 |
Provider Name | Teresa M Imperiale-westerfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821147455 PECOS PAC ID: 3072535129 Enrollment ID: I20160415001227 |
Provider Name | Holly S Slatinsky |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912351040 PECOS PAC ID: 7911294699 Enrollment ID: I20160923000100 |
Provider Name | Cheryl S Newcomb |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265821771 PECOS PAC ID: 5698056950 Enrollment ID: I20161227002026 |
Provider Name | Keith Campbell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013074715 PECOS PAC ID: 8224262845 Enrollment ID: I20170216002818 |
Provider Name | Beenu Joy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851744072 PECOS PAC ID: 9133496763 Enrollment ID: I20170601001486 |
Provider Name | Patricia Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366782203 PECOS PAC ID: 2567609779 Enrollment ID: I20170616000901 |
Provider Name | Pauline J Dixon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861936296 PECOS PAC ID: 4688943145 Enrollment ID: I20170627002073 |
Provider Name | Paula Vasquez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063959203 PECOS PAC ID: 6103195409 Enrollment ID: I20170629001716 |
Provider Name | Kamal Kumar Goyal |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1043698111 PECOS PAC ID: 5890065981 Enrollment ID: I20170722000151 |
Provider Name | Laura Francois |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184011637 PECOS PAC ID: 7911279997 Enrollment ID: I20170825002111 |
Provider Name | Katherine P Leonard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366965519 PECOS PAC ID: 5890060354 Enrollment ID: I20171009003296 |
Provider Name | Michele Gray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497267744 PECOS PAC ID: 8527329275 Enrollment ID: I20180221001460 |
Provider Name | Rachelle L Alejandro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508248584 PECOS PAC ID: 3678865144 Enrollment ID: I20180306001912 |
Provider Name | Diane G Meadows |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275072142 PECOS PAC ID: 2365705142 Enrollment ID: I20180409000460 |
Provider Name | Eldon Hugh Waters |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538665336 PECOS PAC ID: 4587919840 Enrollment ID: I20180611001037 |
Provider Name | Paul Wielebinski |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285689620 PECOS PAC ID: 6709878713 Enrollment ID: I20180709003044 |
Provider Name | Jennifer Lorraine Imperato |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932616364 PECOS PAC ID: 9133475825 Enrollment ID: I20180711001146 |
Provider Name | William Gottschalk |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306231873 PECOS PAC ID: 7618225855 Enrollment ID: I20180806000479 |
Provider Name | Pegah Yaghoubi Yeganeh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518444397 PECOS PAC ID: 8224382122 Enrollment ID: I20181113000589 |
Provider Name | Lindsey L Austin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962994046 PECOS PAC ID: 0547514333 Enrollment ID: I20181114001187 |
Provider Name | Cam T Wagner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407101884 PECOS PAC ID: 6608026026 Enrollment ID: I20181228000450 |
Provider Name | Mary Kuhn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639654122 PECOS PAC ID: 1759627177 Enrollment ID: I20190107000693 |
Provider Name | Matthew Ryan Higgins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780150367 PECOS PAC ID: 7315994407 Enrollment ID: I20190110000190 |
Provider Name | Meagan Burgess |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891261863 PECOS PAC ID: 6103163787 Enrollment ID: I20190122001332 |
Provider Name | Claudine George |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659850212 PECOS PAC ID: 6204173511 Enrollment ID: I20190124001890 |
Provider Name | Lonnie Samantha-gaither Rhodes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578063780 PECOS PAC ID: 1052672136 Enrollment ID: I20190206003091 |
Provider Name | Daniel Patrick Harrison |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558836668 PECOS PAC ID: 8022356922 Enrollment ID: I20190220000289 |
Provider Name | Jessica O Romeo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497222160 PECOS PAC ID: 3971842709 Enrollment ID: I20190222000297 |
Provider Name | Michelle N Pozsonyi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801366984 PECOS PAC ID: 7517207707 Enrollment ID: I20190326002170 |
Provider Name | Tamara Coleburn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609334531 PECOS PAC ID: 8628318615 Enrollment ID: I20190329001890 |
Provider Name | Princess Valentin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134664451 PECOS PAC ID: 0941542732 Enrollment ID: I20190426000833 |
Provider Name | Shinumol Sabu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518425131 PECOS PAC ID: 8628301280 Enrollment ID: I20190613000946 |
Provider Name | Jenna Tillett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023581436 PECOS PAC ID: 6901137066 Enrollment ID: I20191004000439 |
Provider Name | Alisha Ottati |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568927200 PECOS PAC ID: 8224369483 Enrollment ID: I20191018002719 |
Provider Name | Vickie L Sorrell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306114483 PECOS PAC ID: 7911146667 Enrollment ID: I20191031000901 |
Provider Name | Tiffany Dawn Westbrook |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033741970 PECOS PAC ID: 2961830849 Enrollment ID: I20200309001376 |
Provider Name | Bobbi Rhae Armbruster |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205493327 PECOS PAC ID: 8527498757 Enrollment ID: I20200430001184 |
Provider Name | Lindsay Taylor Hayes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659900181 PECOS PAC ID: 2163846569 Enrollment ID: I20200717002128 |
Provider Name | Adam Sparkman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750909420 PECOS PAC ID: 6901221308 Enrollment ID: I20200803000039 |
Provider Name | Rachel Wilson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780053975 PECOS PAC ID: 3870890254 Enrollment ID: I20200817002382 |
Provider Name | Rizwana Yakub Ismail |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962971044 PECOS PAC ID: 8022434380 Enrollment ID: I20200817003475 |
Provider Name | Kristine Schnacke |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508484445 PECOS PAC ID: 2961820170 Enrollment ID: I20200918001745 |
Provider Name | Charmaine G Etienne |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114461902 PECOS PAC ID: 0648521039 Enrollment ID: I20200929000490 |
Provider Name | Kaitlin L Messick |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891386314 PECOS PAC ID: 6406261221 Enrollment ID: I20210209000370 |
Provider Name | Nicole Marie Grove |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902401557 PECOS PAC ID: 3870901978 Enrollment ID: I20210408002011 |
Provider Name | Ermite Caris-barlatier |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083185169 PECOS PAC ID: 8527469485 Enrollment ID: I20210629002631 |
Provider Name | Jesika Meghan Florin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124639539 PECOS PAC ID: 1850705484 Enrollment ID: I20210819001917 |
Provider Name | Teresa Jean Babbitt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982379012 PECOS PAC ID: 1850796814 Enrollment ID: I20210830001047 |
Provider Name | Lynette Whaley Bryant |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003464215 PECOS PAC ID: 9931505708 Enrollment ID: I20210901003504 |
Provider Name | Olivia Wagner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508539099 PECOS PAC ID: 4082010137 Enrollment ID: I20210915000931 |
Provider Name | Janadra Dean Greenidge |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881233526 PECOS PAC ID: 3072910900 Enrollment ID: I20210921000125 |
Provider Name | Loren E Gomes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972277622 PECOS PAC ID: 4385041052 Enrollment ID: I20210922002565 |
Provider Name | Casey Morrow |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104591726 PECOS PAC ID: 0941607394 Enrollment ID: I20210928000570 |
Provider Name | Gurpreet Kaur |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841959343 PECOS PAC ID: 9638561848 Enrollment ID: I20220120002367 |
Provider Name | Debra Lynn Eiermann |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871199240 PECOS PAC ID: 0042602161 Enrollment ID: I20220124001519 |
Provider Name | Sapana Dahal |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457012031 PECOS PAC ID: 7214329291 Enrollment ID: I20220125001633 |
Provider Name | Lindsey Nicole Evans |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124789797 PECOS PAC ID: 9032501960 Enrollment ID: I20220126001289 |
Provider Name | Monica A Clark |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437818747 PECOS PAC ID: 3779976568 Enrollment ID: I20220129000014 |
Provider Name | Ketena D Louine |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578224150 PECOS PAC ID: 9638562424 Enrollment ID: I20220129000263 |
Provider Name | Francesca Nicole Pinto |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982112868 PECOS PAC ID: 6507259736 Enrollment ID: I20220210000296 |
Provider Name | Diane Boicourt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366089112 PECOS PAC ID: 1951782333 Enrollment ID: I20220715002246 |
Provider Name | Krista Lindstrand |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588330252 PECOS PAC ID: 0446610257 Enrollment ID: I20230712000874 |
Provider Name | Adrian E Tuttle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609503572 PECOS PAC ID: 6103280656 Enrollment ID: I20230915002842 |
Provider Name | Chantel M Allen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780216390 PECOS PAC ID: 8325495799 Enrollment ID: I20231106003570 |
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