| Nexus Wound Consultants Llc | |
|
1421 S Mcclintock Dr Tempe AZ 85281-6001 | |
| (830) 285-8882 | |
| Not Available |
| Full Name | Nexus Wound Consultants Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1421 S Mcclintock Dr, Tempe, Arizona |
| Authorized Official Name and Position | Samuel Jurca (OWNER) |
| Authorized Official Contact | 7029019081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nexus Wound Consultants Llc 7881 W Charleston Blvd Ste 230 Las Vegas NV 89117-8327 Ph: (702) 901-9081 | Nexus Wound Consultants Llc 1421 S Mcclintock Dr Tempe AZ 85281-6001 Ph: (830) 285-8882 |
| NPI Number | 1407628316 |
|---|---|
| Provider Enumeration Date | 10/24/2023 |
| Last Update Date | 10/24/2023 |
| Medicare PECOS PAC ID | 3577913805 |
|---|---|
| Medicare Enrollment ID | O20231228001031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407628316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Courtney E Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316114259 PECOS PAC ID: 2961711957 Enrollment ID: I20151013001990 |
| Provider Name | Brenda Lea Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376997130 PECOS PAC ID: 5799078408 Enrollment ID: I20200127000500 |
| Provider Name | Kassandra Lynne Kopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598476285 PECOS PAC ID: 0143695783 Enrollment ID: I20230412001499 |
| Provider Name | Sara Shayan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629737390 PECOS PAC ID: 1557716693 Enrollment ID: I20231010003489 |
| Provider Name | Samuel Jurca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962069203 PECOS PAC ID: 7911237482 Enrollment ID: I20231017001851 |
| Provider Name | Jessica Cicoria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093205213 PECOS PAC ID: 2365790128 Enrollment ID: I20240228003819 |
| Provider Name | Emily Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134970965 PECOS PAC ID: 5294176095 Enrollment ID: I20240510001429 |
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