Tl Family Nurse Practice Llc | |
3201 W Peoria Ave A105 Phoenix AZ 85029-4609 | |
(602) 918-3225 | |
(833) 992-2059 |
Full Name | Tl Family Nurse Practice Llc |
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Speciality | Family Medicine |
Location | 3201 W Peoria Ave, Phoenix, Arizona |
Authorized Official Name and Position | Tara Begay (FNP/CO OWNER) |
Authorized Official Contact | 6029183225 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Tl Family Nurse Practice Llc 3201 W Peoria Ave Suite A105 Phoenix AZ 85029-4609 Ph: (602) 918-3225 | Tl Family Nurse Practice Llc 3201 W Peoria Ave A105 Phoenix AZ 85029-4609 Ph: (602) 918-3225 |
NPI Number | 1659998292 |
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Provider Enumeration Date | 06/30/2020 |
Last Update Date | 04/18/2024 |
Medicare PECOS PAC ID | 4880013846 |
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Medicare Enrollment ID | O20200924003307 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659998292 | NPI | - | NPPES |
082184 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Tara Begay |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962890277 PECOS PAC ID: 8123343894 Enrollment ID: I20150221000282 |
Provider Name | Linda M Comeau |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730673211 PECOS PAC ID: 7012269905 Enrollment ID: I20181003002631 |
Provider Name | Teresa D Loera |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336614858 PECOS PAC ID: 9436486438 Enrollment ID: I20190814001941 |
Provider Name | Hyangsook Lee Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174155089 PECOS PAC ID: 3476984535 Enrollment ID: I20200506000819 |
Provider Name | Fernisha Kaysteine Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992310809 PECOS PAC ID: 6800204157 Enrollment ID: I20210426002354 |
Provider Name | Lea Nickolas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306471644 PECOS PAC ID: 8224435268 Enrollment ID: I20210917002349 |
Provider Name | Vanessa Porras |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902505647 PECOS PAC ID: 2163897844 Enrollment ID: I20230411001893 |
Provider Name | Rachael Nathan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871276717 PECOS PAC ID: 5193163608 Enrollment ID: I20240403001607 |
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