Nexus Wound Consultants Llc | |
7178 E Farewell Bend Ct Boise ID 83716-8100 | |
(702) 901-9081 | |
(830) 365-8018 |
Full Name | Nexus Wound Consultants Llc |
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Speciality | Family Medicine |
Location | 7178 E Farewell Bend Ct, Boise, Idaho |
Authorized Official Name and Position | Alicia Walker (COO) |
Authorized Official Contact | 7029019081 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nexus Wound Consultants Llc 7881 W Charleston Blvd Ste 230 Las Vegas NV 89117-8327 Ph: (702) 901-9081 | Nexus Wound Consultants Llc 7178 E Farewell Bend Ct Boise ID 83716-8100 Ph: (702) 901-9081 |
NPI Number | 1740034297 |
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Provider Enumeration Date | 04/12/2024 |
Last Update Date | 05/20/2024 |
Medicare PECOS PAC ID | 6002258456 |
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Medicare Enrollment ID | O20240530001909 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740034297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Travis Frogley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518508928 PECOS PAC ID: 9335560705 Enrollment ID: I20200611000640 |
Provider Name | Samuel Jurca |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962069203 PECOS PAC ID: 7911237482 Enrollment ID: I20240530002111 |
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