Medtrans Medical Nevada Casal Pllc | |
3312 W Charleston Blvd Las Vegas NV 89102-1829 | |
(702) 410-7825 | |
Not Available |
Full Name | Medtrans Medical Nevada Casal Pllc |
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Speciality | Clinic/Center |
Location | 3312 W Charleston Blvd, Las Vegas, Nevada |
Authorized Official Name and Position | Roya Beuokaghaei (CREDENTIALING SUPERVISOR) |
Authorized Official Contact | 7024107825 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medtrans Medical Nevada Casal Pllc 3312 W Charleston Blvd Las Vegas NV 89102-1829 Ph: (702) 410-7825 | Medtrans Medical Nevada Casal Pllc 3312 W Charleston Blvd Las Vegas NV 89102-1829 Ph: (702) 410-7825 |
NPI Number | 1750846549 |
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Provider Enumeration Date | 02/05/2019 |
Last Update Date | 10/27/2023 |
Medicare PECOS PAC ID | 1850632365 |
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Medicare Enrollment ID | O20190410002272 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750846549 | NPI | - | NPPES |
Provider Name | Damon C Zavala |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437122835 PECOS PAC ID: 5294784567 Enrollment ID: I20050113001011 |
Provider Name | Patricia A Romo Macaluso |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780627851 PECOS PAC ID: 8820194806 Enrollment ID: I20070508000539 |
Provider Name | Maria A Faylona |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770677676 PECOS PAC ID: 5193898542 Enrollment ID: I20080923000123 |
Provider Name | Judith L Bernardo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750603379 PECOS PAC ID: 6608907126 Enrollment ID: I20100628000720 |
Provider Name | Lisa A Vancil |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629382676 PECOS PAC ID: 4082893607 Enrollment ID: I20110127000624 |
Provider Name | Zelluyah W Gaitho |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659672939 PECOS PAC ID: 2961685268 Enrollment ID: I20110324000137 |
Provider Name | Stephen P Dubin |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1023311040 PECOS PAC ID: 2163405556 Enrollment ID: I20110519000372 |
Provider Name | Daniel Park |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1124201801 PECOS PAC ID: 0749451136 Enrollment ID: I20110915000061 |
Provider Name | Nicole C Okeke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164752879 PECOS PAC ID: 7810158300 Enrollment ID: I20120410000262 |
Provider Name | Faisal Suba |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1598965998 PECOS PAC ID: 9234392341 Enrollment ID: I20120529000223 |
Provider Name | Amy Marie Barats |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487909321 PECOS PAC ID: 2163670696 Enrollment ID: I20120907000164 |
Provider Name | Daniel Gonzales Lachica |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881939379 PECOS PAC ID: 4789820036 Enrollment ID: I20130411000454 |
Provider Name | Juliana Alegre Palijo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487995965 PECOS PAC ID: 5698913739 Enrollment ID: I20130530000484 |
Provider Name | Marilou Abellana Mendoza |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528307659 PECOS PAC ID: 2961644901 Enrollment ID: I20130805000276 |
Provider Name | Victor Jerome Hicks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124362488 PECOS PAC ID: 8729305883 Enrollment ID: I20150330000794 |
Provider Name | Maria C Magtoto |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457763849 PECOS PAC ID: 6709048465 Enrollment ID: I20150914002614 |
Provider Name | Ike M Ekekwe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699146464 PECOS PAC ID: 3274834775 Enrollment ID: I20151228001734 |
Provider Name | Uzoma Osuchukwu |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1063760411 PECOS PAC ID: 6002136249 Enrollment ID: I20160411001516 |
Provider Name | Marguarette J Suprien |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881051415 PECOS PAC ID: 4082913751 Enrollment ID: I20160502000505 |
Provider Name | Pius E Ehiane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962801951 PECOS PAC ID: 8022313865 Enrollment ID: I20160510002342 |
Provider Name | Subani Gautam |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174866214 PECOS PAC ID: 1658598438 Enrollment ID: I20160914002948 |
Provider Name | Dawn L Starks Ball |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962693465 PECOS PAC ID: 9234427675 Enrollment ID: I20161018000803 |
Provider Name | Ann Marie Mallory |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801203948 PECOS PAC ID: 1456641901 Enrollment ID: I20161115002083 |
Provider Name | Raven D Ennis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407278757 PECOS PAC ID: 6507146651 Enrollment ID: I20161206001905 |
Provider Name | Jon Failla |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326474685 PECOS PAC ID: 1557645546 Enrollment ID: I20170313001471 |
Provider Name | Ying-chia Cheng |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1811257058 PECOS PAC ID: 6002036795 Enrollment ID: I20170621002933 |
Provider Name | Trina Lashelle Singleterry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417487547 PECOS PAC ID: 7810262128 Enrollment ID: I20171011003417 |
Provider Name | Elaine Dimalanta Guiang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174034482 PECOS PAC ID: 0345506192 Enrollment ID: I20171109003583 |
Provider Name | Jamie Lee Cichon |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1346530425 PECOS PAC ID: 3375854953 Enrollment ID: I20171221002516 |
Provider Name | Melissa Vega |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114425485 PECOS PAC ID: 0446511489 Enrollment ID: I20180307002296 |
Provider Name | Christine Barnett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851894489 PECOS PAC ID: 5890057400 Enrollment ID: I20180320000530 |
Provider Name | Tanya Sara Anne Temple |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336536804 PECOS PAC ID: 1850605700 Enrollment ID: I20180510000383 |
Provider Name | Michael Palma Casal |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1568551638 PECOS PAC ID: 8921039447 Enrollment ID: I20180614001116 |
Provider Name | Hannah M Harris Austin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487192308 PECOS PAC ID: 2668729278 Enrollment ID: I20180726003306 |
Provider Name | Megan Queral |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992180244 PECOS PAC ID: 8426306457 Enrollment ID: I20180807002119 |
Provider Name | Jason M Castillo |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1013335959 PECOS PAC ID: 2567681547 Enrollment ID: I20181010003709 |
Provider Name | Daryl Jordan Yann |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134607237 PECOS PAC ID: 8921350448 Enrollment ID: I20181011001381 |
Provider Name | Francis O Raini |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154613479 PECOS PAC ID: 2365786274 Enrollment ID: I20181204002010 |
Provider Name | Carrissia Feaster |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1740695352 PECOS PAC ID: 1355560640 Enrollment ID: I20181221002095 |
Provider Name | Julie Westwood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124598818 PECOS PAC ID: 7315285699 Enrollment ID: I20190212001215 |
Provider Name | Dina Alzadon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962982728 PECOS PAC ID: 9032458492 Enrollment ID: I20190228002691 |
Provider Name | Ruel L Mariano |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114481785 PECOS PAC ID: 3476893504 Enrollment ID: I20190327001362 |
Provider Name | Nancy Tamin Sahagun |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568930972 PECOS PAC ID: 4587905674 Enrollment ID: I20190418002021 |
Provider Name | Suzann Gordon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619247681 PECOS PAC ID: 3274875208 Enrollment ID: I20190423002252 |
Provider Name | Shauna-dean Jackson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982150892 PECOS PAC ID: 6709162092 Enrollment ID: I20190528000844 |
Provider Name | Michael Todd Mathisen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114487881 PECOS PAC ID: 0648504605 Enrollment ID: I20190625001488 |
Provider Name | Michael Popov |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1518351097 PECOS PAC ID: 0244546505 Enrollment ID: I20190626003953 |
Provider Name | Melanie Celeste Lasseigne |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598292666 PECOS PAC ID: 5193051209 Enrollment ID: I20190727000094 |
Provider Name | Reza Goravanchi |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1861886830 PECOS PAC ID: 1658687819 Enrollment ID: I20190802002111 |
Provider Name | Justin Petrie |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1164816443 PECOS PAC ID: 1658687926 Enrollment ID: I20190805002007 |
Provider Name | Abigail Kathryn Anderson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477001337 PECOS PAC ID: 7214266451 Enrollment ID: I20190912002385 |
Provider Name | Ernesto J Isman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326535683 PECOS PAC ID: 9638408792 Enrollment ID: I20190916000816 |
Provider Name | Phyllis Yvonne Montavon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235364522 PECOS PAC ID: 5395075550 Enrollment ID: I20191001002480 |
Provider Name | Jeannie Gaye |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437548864 PECOS PAC ID: 8022348101 Enrollment ID: I20191003000371 |
Provider Name | Veronica Perez-kahl |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427315019 PECOS PAC ID: 8921339938 Enrollment ID: I20191004002561 |
Provider Name | Audra Omwanghe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518415132 PECOS PAC ID: 6103157128 Enrollment ID: I20191004003082 |
Provider Name | Marie Luback-neves |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023401999 PECOS PAC ID: 2860824091 Enrollment ID: I20191108002554 |
Provider Name | Adewale Musiliyu Busari |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942861950 PECOS PAC ID: 0042450033 Enrollment ID: I20191119002622 |
Provider Name | Cynthia Kay Combs |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457904146 PECOS PAC ID: 5890128607 Enrollment ID: I20191210001062 |
Provider Name | Heidi Wesbrock |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598135279 PECOS PAC ID: 8628401254 Enrollment ID: I20191211003095 |
Provider Name | Natalie J Mcmillen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053616391 PECOS PAC ID: 1557797933 Enrollment ID: I20200203001354 |
Provider Name | Johann Sprenger |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255796934 PECOS PAC ID: 7618306655 Enrollment ID: I20200326002526 |
Provider Name | Daniel Garrido Arsulo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003303991 PECOS PAC ID: 4284063033 Enrollment ID: I20200331001292 |
Provider Name | Francisco Gonzalez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417303124 PECOS PAC ID: 1850721077 Enrollment ID: I20200430000764 |
Provider Name | Fernando Mendez |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1720472327 PECOS PAC ID: 2264710839 Enrollment ID: I20200722001820 |
Provider Name | Mavis B Major |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750552584 PECOS PAC ID: 2365868197 Enrollment ID: I20200811002843 |
Provider Name | Shaheen Waqar Ahmad |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205447406 PECOS PAC ID: 2062830516 Enrollment ID: I20200915001836 |
Provider Name | Levi Gaile Alayon Galicia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639784655 PECOS PAC ID: 4789094004 Enrollment ID: I20201027002964 |
Provider Name | Bonnie Sue Betts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083852206 PECOS PAC ID: 0749691491 Enrollment ID: I20201201001922 |
Provider Name | Jasmine Manocha |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205444510 PECOS PAC ID: 8628484557 Enrollment ID: I20210301002032 |
Provider Name | Jamie P Ucci |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174116735 PECOS PAC ID: 3870900525 Enrollment ID: I20210325001740 |
Provider Name | Rachel Coffman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053428524 PECOS PAC ID: 5799192308 Enrollment ID: I20210326002307 |
Provider Name | Kaiwen Jiang |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366035750 PECOS PAC ID: 0648687103 Enrollment ID: I20210329001962 |
Provider Name | Aubree Welsh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215498654 PECOS PAC ID: 6002216793 Enrollment ID: I20210617001230 |
Provider Name | Truong Nguyen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821663428 PECOS PAC ID: 6709281785 Enrollment ID: I20210830002153 |
Provider Name | Gina J Azevedo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609487776 PECOS PAC ID: 1254737547 Enrollment ID: I20210913001393 |
Provider Name | Jasmin Tiara Mcgee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033781943 PECOS PAC ID: 3375934649 Enrollment ID: I20211221000536 |
Provider Name | Carlo Yap |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871255497 PECOS PAC ID: 7315331139 Enrollment ID: I20220221002408 |
Provider Name | Wanseung Kim |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104547769 PECOS PAC ID: 6002286440 Enrollment ID: I20230103001871 |
Provider Name | Najimu Akanni Akanji |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780391482 PECOS PAC ID: 2365814746 Enrollment ID: I20230213000519 |
Provider Name | Christine Sapida |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598478174 PECOS PAC ID: 9537531926 Enrollment ID: I20230213001098 |
Provider Name | Allan Michael C De Leon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073201257 PECOS PAC ID: 3274989371 Enrollment ID: I20231025003924 |
Provider Name | Tequila Marie Rogers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851171789 PECOS PAC ID: 9830540137 Enrollment ID: I20240111001535 |
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