| Prism Wellness Center Pllc | |
|
9299 W Olive Ave Ste 604 Peoria AZ 85345-8386 | |
| (610) 772-3325 | |
| (866) 398-8310 |
| Full Name | Prism Wellness Center Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 9299 W Olive Ave Ste 604, Peoria, Arizona |
| Authorized Official Name and Position | Carolyn Collier (NP) |
| Authorized Official Contact | 6107723325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prism Wellness Center Pllc 14175 W Indian School Rd # Setb4195 Goodyear AZ 85395-8407 Ph: (610) 772-3325 | Prism Wellness Center Pllc 9299 W Olive Ave Ste 604 Peoria AZ 85345-8386 Ph: (610) 772-3325 |
| NPI Number | 1407607336 |
|---|---|
| Provider Enumeration Date | 03/28/2024 |
| Last Update Date | 09/05/2024 |
| Medicare PECOS PAC ID | 1850732371 |
|---|---|
| Medicare Enrollment ID | O20240515002994 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407607336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Carolyn Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538872387 PECOS PAC ID: 4183095748 Enrollment ID: I20230119001122 |
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