Medexpress Urgent Care - Boynton Beach | |
7593 Boynton Beach Blvd Suite 190 Boynton Beach FL 33437-6154 | |
(561) 572-3200 | |
(561) 572-0445 |
Full Name | Medexpress Urgent Care - Boynton Beach |
---|---|
Speciality | Clinic/Center |
Location | 7593 Boynton Beach Blvd, Boynton Beach, Florida |
Authorized Official Name and Position | Joy Kimball (CONTRACT MANAGER) |
Authorized Official Contact | 7633496740 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medexpress Urgent Care - Boynton Beach 423 Fortress Blvd Morgantown WV 26508-1351 Ph: (304) 225-2500 | Medexpress Urgent Care - Boynton Beach 7593 Boynton Beach Blvd Suite 190 Boynton Beach FL 33437-6154 Ph: (561) 572-3200 |
NPI Number | 1366544728 |
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Provider Enumeration Date | 09/05/2006 |
Last Update Date | 05/07/2024 |
Medicare PECOS PAC ID | 7517980832 |
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Medicare Enrollment ID | O20060112000219 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366544728 | NPI | - | NPPES |
019552300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | HCC6840 (Florida) | Primary |
Provider Name | Barry Robert Weiss |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1861467201 PECOS PAC ID: 3870491574 Enrollment ID: I20031219000270 |
Provider Name | Stanley W Tenenbaum |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1629070800 PECOS PAC ID: 3870496946 Enrollment ID: I20040128000418 |
Provider Name | Robert Schwartz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053349316 PECOS PAC ID: 1355235946 Enrollment ID: I20040213000068 |
Provider Name | Edward J Hartwig |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1487640009 PECOS PAC ID: 3577459379 Enrollment ID: I20040227000191 |
Provider Name | Tom Pleasants |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306895164 PECOS PAC ID: 8527957463 Enrollment ID: I20040403000265 |
Provider Name | Stephen M Parsons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134171077 PECOS PAC ID: 6406837376 Enrollment ID: I20040526001168 |
Provider Name | Chris Kunis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760429989 PECOS PAC ID: 9335122969 Enrollment ID: I20040612000335 |
Provider Name | Kathryn S Shellhart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669496089 PECOS PAC ID: 5496720179 Enrollment ID: I20040826001030 |
Provider Name | Neil Piwovar |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1316943202 PECOS PAC ID: 2466425715 Enrollment ID: I20041005000270 |
Provider Name | Sophia S Salmon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508896986 PECOS PAC ID: 4789637844 Enrollment ID: I20050301000428 |
Provider Name | Gregg Nezowitz |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1619945730 PECOS PAC ID: 0941228290 Enrollment ID: I20051105000142 |
Provider Name | Cynthia L Johnston |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831162239 PECOS PAC ID: 7911927793 Enrollment ID: I20051123000425 |
Provider Name | Lisa K Brundrett |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1942241278 PECOS PAC ID: 6002837622 Enrollment ID: I20051212000265 |
Provider Name | Cornel Tomelden |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720051733 PECOS PAC ID: 7810880580 Enrollment ID: I20060103000691 |
Provider Name | Laurel E Ciccarello |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790722957 PECOS PAC ID: 8123033123 Enrollment ID: I20060213000402 |
Provider Name | Tina M Dochniak |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427094937 PECOS PAC ID: 5698879682 Enrollment ID: I20070402000011 |
Provider Name | James P Davison |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1104855626 PECOS PAC ID: 2961500178 Enrollment ID: I20070612000697 |
Provider Name | Don L Corpus |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558379339 PECOS PAC ID: 1557350592 Enrollment ID: I20071215000257 |
Provider Name | Otniel Hernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003000720 PECOS PAC ID: 3870683139 Enrollment ID: I20071227000001 |
Provider Name | Sheryl O Thompson |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1174577498 PECOS PAC ID: 3476622853 Enrollment ID: I20080527000731 |
Provider Name | Julia A Barlow-vorster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124072533 PECOS PAC ID: 1052369485 Enrollment ID: I20090511000081 |
Provider Name | David R Ferrell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376542290 PECOS PAC ID: 0345255311 Enrollment ID: I20110929000611 |
Provider Name | Stephanie M Wise |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508149048 PECOS PAC ID: 7416129481 Enrollment ID: I20111017000731 |
Provider Name | Lauren N Wright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821343864 PECOS PAC ID: 8123276656 Enrollment ID: I20120907000195 |
Provider Name | Janet L Revilla |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528329943 PECOS PAC ID: 8820246135 Enrollment ID: I20120911000705 |
Provider Name | Dina Fedor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164728010 PECOS PAC ID: 0345414892 Enrollment ID: I20120928000084 |
Provider Name | Latisa Lynch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235473638 PECOS PAC ID: 7810149432 Enrollment ID: I20121206000122 |
Provider Name | Nick R Patel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851559454 PECOS PAC ID: 9830361062 Enrollment ID: I20121212000498 |
Provider Name | Christopher Kempf |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033461603 PECOS PAC ID: 1850545625 Enrollment ID: I20130201000099 |
Provider Name | Erin M Linsky |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891129805 PECOS PAC ID: 5991939878 Enrollment ID: I20131008001218 |
Provider Name | Teaondra M Ford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467887059 PECOS PAC ID: 2466686159 Enrollment ID: I20131011001497 |
Provider Name | Cheryl Ann Mcguire |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952650459 PECOS PAC ID: 1759516511 Enrollment ID: I20131101001178 |
Provider Name | Sean Muffley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407289929 PECOS PAC ID: 5496982449 Enrollment ID: I20131218001317 |
Provider Name | Linda K Eld |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821098369 PECOS PAC ID: 9032185533 Enrollment ID: I20140320001700 |
Provider Name | Marinelle Platon-jones |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912056789 PECOS PAC ID: 2961627930 Enrollment ID: I20140707001733 |
Provider Name | Catherine Tuorto |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780087627 PECOS PAC ID: 3274856539 Enrollment ID: I20141218000905 |
Provider Name | Laura C Lemmenes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750482592 PECOS PAC ID: 6901064732 Enrollment ID: I20150224001044 |
Provider Name | Patrick M Burke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578952875 PECOS PAC ID: 4880905819 Enrollment ID: I20150617003024 |
Provider Name | Paula Kay Fontenote |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770569931 PECOS PAC ID: 5890719934 Enrollment ID: I20150623000832 |
Provider Name | Thomas Asher |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548265044 PECOS PAC ID: 1850453820 Enrollment ID: I20160113002703 |
Provider Name | Isaiah Antonek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669870960 PECOS PAC ID: 8123327467 Enrollment ID: I20160509000827 |
Provider Name | Jessica J Morton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144684804 PECOS PAC ID: 6901190826 Enrollment ID: I20160815002558 |
Provider Name | Kessarin Gustafson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407203821 PECOS PAC ID: 8224325238 Enrollment ID: I20160919002598 |
Provider Name | Ravi V Sharma |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023412368 PECOS PAC ID: 2264720564 Enrollment ID: I20161018003064 |
Provider Name | Cynthia Good |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538112784 PECOS PAC ID: 8820043268 Enrollment ID: I20161028000952 |
Provider Name | Ravindra N Vajjhala |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1124078613 PECOS PAC ID: 5193615433 Enrollment ID: I20161112000126 |
Provider Name | Gregory D Baisden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487103594 PECOS PAC ID: 9234411489 Enrollment ID: I20170123002286 |
Provider Name | Marc S Lampell |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1154390508 PECOS PAC ID: 6406893353 Enrollment ID: I20170223001828 |
Provider Name | Jennifer Sierra |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003365461 PECOS PAC ID: 9638453913 Enrollment ID: I20170306000967 |
Provider Name | David Hefner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013114610 PECOS PAC ID: 7517016355 Enrollment ID: I20170307001767 |
Provider Name | Richard Boone |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023080215 PECOS PAC ID: 0345285755 Enrollment ID: I20170427001231 |
Provider Name | Sara Mia Ahmed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518385749 PECOS PAC ID: 6507143351 Enrollment ID: I20170503001146 |
Provider Name | Latoya T Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598187965 PECOS PAC ID: 6901173152 Enrollment ID: I20170518002780 |
Provider Name | Frederick Brian Brautigan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710931068 PECOS PAC ID: 1850284936 Enrollment ID: I20170831003013 |
Provider Name | Lauren Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326567546 PECOS PAC ID: 0345507349 Enrollment ID: I20171129002623 |
Provider Name | Jesus Cardenas Alvarez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669995379 PECOS PAC ID: 9830458488 Enrollment ID: I20180105001180 |
Provider Name | Savina Venkova |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811445133 PECOS PAC ID: 3274892468 Enrollment ID: I20180116000983 |
Provider Name | Lawrence A Lewis |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1346206604 PECOS PAC ID: 1951295013 Enrollment ID: I20180123000658 |
Provider Name | Jacqueline J Dalla Rosa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871000513 PECOS PAC ID: 0446511133 Enrollment ID: I20180220001673 |
Provider Name | Robin E Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275948457 PECOS PAC ID: 7113279043 Enrollment ID: I20181004000328 |
Provider Name | Phyllis D Wille |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619046174 PECOS PAC ID: 4587757778 Enrollment ID: I20181012002451 |
Provider Name | Mary Kuhn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639654122 PECOS PAC ID: 1759627177 Enrollment ID: I20190107000693 |
Provider Name | Jennelyn Ipo Moneda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962984104 PECOS PAC ID: 3375881451 Enrollment ID: I20190214003059 |
Provider Name | Ann Andrzejewski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326594581 PECOS PAC ID: 8325335508 Enrollment ID: I20190225001510 |
Provider Name | Michael Vito Dimucci |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083694806 PECOS PAC ID: 1759286842 Enrollment ID: I20190313002046 |
Provider Name | Ian S Fried |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457918633 PECOS PAC ID: 8729315049 Enrollment ID: I20190809000500 |
Provider Name | Tracey C Stone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336579697 PECOS PAC ID: 8921239450 Enrollment ID: I20190909002357 |
Provider Name | Angelica P Lamb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235602731 PECOS PAC ID: 5991036709 Enrollment ID: I20191009001558 |
Provider Name | Kelvinna Alexander |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912249343 PECOS PAC ID: 3870728165 Enrollment ID: I20191112001394 |
Provider Name | Brett Jenkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558904961 PECOS PAC ID: 3678908381 Enrollment ID: I20200127000347 |
Provider Name | Jenifer L Grooms |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104178896 PECOS PAC ID: 7810142841 Enrollment ID: I20200206002390 |
Provider Name | David Roman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518036748 PECOS PAC ID: 6305870718 Enrollment ID: I20200304000927 |
Provider Name | Patti Ann Dasilva |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457741985 PECOS PAC ID: 5496060246 Enrollment ID: I20200317000989 |
Provider Name | Suzanne C Dargan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033524970 PECOS PAC ID: 7012136674 Enrollment ID: I20201007003301 |
Provider Name | Sacha Shaw |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316109762 PECOS PAC ID: 6406027184 Enrollment ID: I20201110000794 |
Provider Name | Charlene Micale Somaru |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801328679 PECOS PAC ID: 3173895356 Enrollment ID: I20201118001066 |
Provider Name | Ruth Holman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427021492 PECOS PAC ID: 0840206629 Enrollment ID: I20201214001589 |
Provider Name | Jennifer L Solano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609460112 PECOS PAC ID: 5890102826 Enrollment ID: I20210318001390 |
Provider Name | Suzzette Maria Alio Llado |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780038406 PECOS PAC ID: 9335431717 Enrollment ID: I20210617001065 |
Provider Name | Yandro Leal |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932690021 PECOS PAC ID: 0042611501 Enrollment ID: I20210622002652 |
Provider Name | Danita Fox |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013236207 PECOS PAC ID: 9739406307 Enrollment ID: I20210804003732 |
Provider Name | Jeannette Humphrey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407198377 PECOS PAC ID: 8820236920 Enrollment ID: I20211202001687 |
Provider Name | Weliya Mohamed Bajiba |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235699406 PECOS PAC ID: 9739418419 Enrollment ID: I20211207000668 |
Provider Name | Carolina Pavon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053951996 PECOS PAC ID: 1850787318 Enrollment ID: I20220408001975 |
Provider Name | Walter J Kaniefski |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1003840422 PECOS PAC ID: 7113839259 Enrollment ID: I20220419002662 |
Provider Name | Jeffrey Butch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780835686 PECOS PAC ID: 0840261137 Enrollment ID: I20220506001289 |
Provider Name | Julie Keefer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124508908 PECOS PAC ID: 6406107028 Enrollment ID: I20220613001822 |
Provider Name | Donna J Long |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578930715 PECOS PAC ID: 2264732015 Enrollment ID: I20220622001433 |
Provider Name | Kellie Gautier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215219902 PECOS PAC ID: 5597939595 Enrollment ID: I20220725002198 |
Provider Name | Daniel T Chan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780880021 PECOS PAC ID: 8426243809 Enrollment ID: I20221013000005 |
Provider Name | Kelley Defilippis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598243040 PECOS PAC ID: 0749656841 Enrollment ID: I20221014000112 |
Provider Name | Monique Richmond |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649635467 PECOS PAC ID: 6406159631 Enrollment ID: I20221101000697 |
Provider Name | Sandra Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134408461 PECOS PAC ID: 6608047386 Enrollment ID: I20221128000038 |
Provider Name | Kayla Otworth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770137580 PECOS PAC ID: 8820328545 Enrollment ID: I20221216000515 |
Provider Name | Michael Zimmer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881825743 PECOS PAC ID: 2961659859 Enrollment ID: I20221221001830 |
Provider Name | David Berkson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588756233 PECOS PAC ID: 6103822903 Enrollment ID: I20221227001036 |
Provider Name | Joseph B Larkin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538524467 PECOS PAC ID: 2668764994 Enrollment ID: I20230106000273 |
Provider Name | Bernetta Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619487303 PECOS PAC ID: 5799024246 Enrollment ID: I20230118003083 |
Provider Name | Lindsey Hull |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922344407 PECOS PAC ID: 6002051596 Enrollment ID: I20230123000036 |
Provider Name | Alison Begay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356820278 PECOS PAC ID: 2860732021 Enrollment ID: I20230131002140 |
Provider Name | Nicole Tiefel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326438599 PECOS PAC ID: 8123392586 Enrollment ID: I20230201003445 |
Provider Name | Jessica Borst |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487204319 PECOS PAC ID: 9436489648 Enrollment ID: I20230203000172 |
Provider Name | Karon Branch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740669795 PECOS PAC ID: 4385948686 Enrollment ID: I20230306002911 |
Provider Name | Habakuk Michel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467806448 PECOS PAC ID: 6507129749 Enrollment ID: I20230505001687 |
Provider Name | Khawaja Siddique |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750636635 PECOS PAC ID: 0345556718 Enrollment ID: I20230524003857 |
Provider Name | Hillary Ruth Goodwin-yildiz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073038584 PECOS PAC ID: 8224392915 Enrollment ID: I20230713001883 |
Provider Name | Hilary Lash |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801839394 PECOS PAC ID: 3173710431 Enrollment ID: I20230719003320 |
Provider Name | Marek Didluch |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750312641 PECOS PAC ID: 1951366756 Enrollment ID: I20230823000263 |
Provider Name | Julie Lynn Waddell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700843125 PECOS PAC ID: 0840233565 Enrollment ID: I20230929002205 |
Provider Name | Faredoon Misaghi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427097302 PECOS PAC ID: 9638063076 Enrollment ID: I20230929002632 |
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