| Infinity Family Wellness | |
|
1672 Oaklawn Dr Prescott AZ 86305-1106 | |
| (928) 445-5339 | |
| (928) 445-3644 |
| Full Name | Infinity Family Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 1672 Oaklawn Dr, Prescott, Arizona |
| Authorized Official Name and Position | Sheila Busch (OWNER) |
| Authorized Official Contact | 9284455339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinity Family Wellness 1672 Oaklawn Dr Prescott AZ 86305-1106 Ph: (928) 445-5339 | Infinity Family Wellness 1672 Oaklawn Dr Prescott AZ 86305-1106 Ph: (928) 445-5339 |
| NPI Number | 1609346352 |
|---|---|
| Provider Enumeration Date | 11/26/2018 |
| Last Update Date | 01/23/2019 |
| Medicare PECOS PAC ID | 7517206139 |
|---|---|
| Medicare Enrollment ID | O20190226002664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609346352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Sheila Kaye Busch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619445814 PECOS PAC ID: 8426397043 Enrollment ID: I20190226002753 |
| Provider Name | Russell Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073137824 PECOS PAC ID: 2062832256 Enrollment ID: I20201008001217 |
| Provider Name | Christine K Gean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659024743 PECOS PAC ID: 3274917349 Enrollment ID: I20230130001946 |
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