Universal Health Corporation | |
574 Frontier Way Fincastle VA 24090-5321 | |
(540) 345-3556 | |
(540) 342-2193 |
Full Name | Universal Health Corporation |
---|---|
Speciality | Internal Medicine |
Location | 574 Frontier Way, Fincastle, Virginia |
Authorized Official Name and Position | Alfonso D Brochero (OWNER/DR) |
Authorized Official Contact | 5403453556 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Universal Health Corporation Po Box 8310 Roanoke VA 24014-0310 Ph: (540) 345-3556 | Universal Health Corporation 574 Frontier Way Fincastle VA 24090-5321 Ph: (540) 345-3556 |
NPI Number | 1407117625 |
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Provider Enumeration Date | 06/05/2012 |
Last Update Date | 11/04/2020 |
Medicare PECOS PAC ID | 5597912626 |
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Medicare Enrollment ID | O20120824000538 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407117625 | NPI | - | NPPES |
1306005665 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101245698 (Virginia) | Primary |
Provider Name | James W Forest-lam |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730116583 PECOS PAC ID: 6305759325 Enrollment ID: I20031106000504 |
Provider Name | Timothy B Mckernan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821059981 PECOS PAC ID: 3173517745 Enrollment ID: I20040414001435 |
Provider Name | Gina Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437127917 PECOS PAC ID: 5193714731 Enrollment ID: I20040517000929 |
Provider Name | Daleen L Lewis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427004324 PECOS PAC ID: 3072599323 Enrollment ID: I20040628000072 |
Provider Name | Jennifer A Jonkers |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548339989 PECOS PAC ID: 4981684560 Enrollment ID: I20040723000404 |
Provider Name | Cheri D Dickenson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629162227 PECOS PAC ID: 4385689702 Enrollment ID: I20050624000997 |
Provider Name | Diane Winn Blair |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114949369 PECOS PAC ID: 1951331586 Enrollment ID: I20050815000154 |
Provider Name | Ali M Sajadi |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1326028614 PECOS PAC ID: 0547294266 Enrollment ID: I20050922000405 |
Provider Name | Larissa S Norman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467665943 PECOS PAC ID: 7719073774 Enrollment ID: I20071022000735 |
Provider Name | Valencia R Belle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104832963 PECOS PAC ID: 2466537170 Enrollment ID: I20080305000340 |
Provider Name | Tonya Robertson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114107513 PECOS PAC ID: 8628153137 Enrollment ID: I20080307000507 |
Provider Name | Lisa M Reedy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235374018 PECOS PAC ID: 5698831600 Enrollment ID: I20090226000578 |
Provider Name | Philip Cogan Casey |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144216078 PECOS PAC ID: 8527079201 Enrollment ID: I20090312000505 |
Provider Name | Virginia W Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427290618 PECOS PAC ID: 5496803264 Enrollment ID: I20090505000268 |
Provider Name | Anthony J Hayes |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902922305 PECOS PAC ID: 4082763941 Enrollment ID: I20090522000473 |
Provider Name | Alfonso Brochero |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306005665 PECOS PAC ID: 6507910759 Enrollment ID: I20090821000551 |
Provider Name | Charles E Parker |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689673253 PECOS PAC ID: 5890987929 Enrollment ID: I20101007001275 |
Provider Name | Stanley N Furman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467481234 PECOS PAC ID: 4981704921 Enrollment ID: I20110428000414 |
Provider Name | Christine Davidson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588902761 PECOS PAC ID: 8022263839 Enrollment ID: I20130228000274 |
Provider Name | Monica Rene Beckett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811322993 PECOS PAC ID: 2062647738 Enrollment ID: I20131105001280 |
Provider Name | Khoi Nguyen |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1578820841 PECOS PAC ID: 4587970744 Enrollment ID: I20150902001664 |
Provider Name | Keith Iverson Harrop |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093080418 PECOS PAC ID: 9931342458 Enrollment ID: I20150909003015 |
Provider Name | Elizabeth A Draper |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164780102 PECOS PAC ID: 0446575716 Enrollment ID: I20151026002155 |
Provider Name | Audra L Doyle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417347451 PECOS PAC ID: 7012227523 Enrollment ID: I20151113000584 |
Provider Name | Nicole Kemp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447590641 PECOS PAC ID: 8325285265 Enrollment ID: I20151217002225 |
Provider Name | Kimberly A Richards |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457720039 PECOS PAC ID: 3971808734 Enrollment ID: I20160217000281 |
Provider Name | Amy Michelle Reedy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790135283 PECOS PAC ID: 7214222397 Enrollment ID: I20160829001564 |
Provider Name | Hedda Ruth Gosnell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306390075 PECOS PAC ID: 5092002774 Enrollment ID: I20160923000141 |
Provider Name | Jennifer M Murphy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932657087 PECOS PAC ID: 0345521332 Enrollment ID: I20170105002368 |
Provider Name | Cameron Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821525692 PECOS PAC ID: 0042580813 Enrollment ID: I20170727000309 |
Provider Name | Kelly Arendall Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669988986 PECOS PAC ID: 2668732090 Enrollment ID: I20180205000482 |
Provider Name | Hope Annette Alexander |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184131765 PECOS PAC ID: 4981965175 Enrollment ID: I20180305000869 |
Provider Name | Rebecca Ferrell Green |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962811554 PECOS PAC ID: 4385864701 Enrollment ID: I20180322000733 |
Provider Name | Dorin Takwa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932582517 PECOS PAC ID: 1850604638 Enrollment ID: I20180413001714 |
Provider Name | Jennifer L Follett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861981409 PECOS PAC ID: 9032467774 Enrollment ID: I20180813001074 |
Provider Name | Francine Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972089886 PECOS PAC ID: 1951653104 Enrollment ID: I20181016003108 |
Provider Name | Brooke Kaylyn Mcdaniel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871085753 PECOS PAC ID: 5193078400 Enrollment ID: I20181101003125 |
Provider Name | Farzana Kousar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386008530 PECOS PAC ID: 3971895392 Enrollment ID: I20181130001072 |
Provider Name | Justin A Lindsey |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871014423 PECOS PAC ID: 9830434190 Enrollment ID: I20181214002474 |
Provider Name | Allyson Kay Scruggs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235606500 PECOS PAC ID: 2961748116 Enrollment ID: I20190109002700 |
Provider Name | Maureen S Milauskas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760957278 PECOS PAC ID: 8224374467 Enrollment ID: I20190211001314 |
Provider Name | Barbara Jean Frost |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932697596 PECOS PAC ID: 4385986041 Enrollment ID: I20190429001424 |
Provider Name | Maggie King Clendenen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659840486 PECOS PAC ID: 1759622814 Enrollment ID: I20191016000345 |
Provider Name | Miranda Carol Fields |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588209647 PECOS PAC ID: 4486087145 Enrollment ID: I20191210003250 |
Provider Name | Stephanie Rose Wright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932742731 PECOS PAC ID: 8820425671 Enrollment ID: I20200217004958 |
Provider Name | Catherine Schutt Hurte |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497390421 PECOS PAC ID: 6002243409 Enrollment ID: I20200225000888 |
Provider Name | Julia Grace Lizotte |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174089114 PECOS PAC ID: 5193154466 Enrollment ID: I20200408000232 |
Provider Name | Susan Anette Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194350512 PECOS PAC ID: 1052740255 Enrollment ID: I20200409002618 |
Provider Name | Matthew J Schweiger |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811421290 PECOS PAC ID: 9133544141 Enrollment ID: I20200807002677 |
Provider Name | Venkat Lakshmi Prasa Maddukuri |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700307956 PECOS PAC ID: 5496025280 Enrollment ID: I20200911000789 |
Provider Name | Angela E Shearer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154930022 PECOS PAC ID: 9739508276 Enrollment ID: I20201001002228 |
Provider Name | Heather E Wise |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306309570 PECOS PAC ID: 2062824303 Enrollment ID: I20201210002120 |
Provider Name | Pamela Jean Scholl |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548867526 PECOS PAC ID: 6406268382 Enrollment ID: I20201217001866 |
Provider Name | Molly E Vaughan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821695578 PECOS PAC ID: 1850704750 Enrollment ID: I20210114001390 |
Provider Name | Amanda Ashley Crews |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134711971 PECOS PAC ID: 9335554948 Enrollment ID: I20210212000146 |
Provider Name | Barbara Nowak |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871047878 PECOS PAC ID: 9638584907 Enrollment ID: I20210218001404 |
Provider Name | Karen King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598343774 PECOS PAC ID: 1557778651 Enrollment ID: I20210407000679 |
Provider Name | Saima Panjwani |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124607106 PECOS PAC ID: 6002224847 Enrollment ID: I20210416000610 |
Provider Name | Krystal Shante Woodson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396337101 PECOS PAC ID: 2860800190 Enrollment ID: I20210426001549 |
Provider Name | Charles W Welly |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1700956414 PECOS PAC ID: 0547257529 Enrollment ID: I20210621000604 |
Provider Name | Cathy Shell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447755772 PECOS PAC ID: 7214339928 Enrollment ID: I20210716001186 |
Provider Name | Andrea Mi Wild-gingeleski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447923719 PECOS PAC ID: 0446655286 Enrollment ID: I20210817003679 |
Provider Name | Tiffany Yvette Curry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881357952 PECOS PAC ID: 6608265285 Enrollment ID: I20211122000200 |
Provider Name | Sarah Wells |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144894262 PECOS PAC ID: 6103217195 Enrollment ID: I20211230000802 |
Provider Name | Amy Kathleen Ebert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467118489 PECOS PAC ID: 6103218573 Enrollment ID: I20220114000611 |
Provider Name | Michelle Hope Conover |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558964262 PECOS PAC ID: 3173916848 Enrollment ID: I20220202001796 |
Provider Name | Jennifer Renee Horne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457025058 PECOS PAC ID: 8224422449 Enrollment ID: I20220303000864 |
Provider Name | Tammy Bogart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366543316 PECOS PAC ID: 6204971443 Enrollment ID: I20220401000103 |
Provider Name | Cozetta Lee Hubbard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306506985 PECOS PAC ID: 1951797851 Enrollment ID: I20220401000155 |
Provider Name | Kira Maria Derby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518568021 PECOS PAC ID: 7113313842 Enrollment ID: I20220406001625 |
Provider Name | Jill E Garrett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316345549 PECOS PAC ID: 5193086908 Enrollment ID: I20220506001701 |
Provider Name | Dawn Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942950050 PECOS PAC ID: 1153708177 Enrollment ID: I20220513000140 |
Provider Name | Jennifer Wellisley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760857445 PECOS PAC ID: 8921306317 Enrollment ID: I20220602000900 |
Provider Name | Amy K Daniels |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275028912 PECOS PAC ID: 0941552806 Enrollment ID: I20220804001023 |
Provider Name | Bridgette Michelle Smoot |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700504750 PECOS PAC ID: 9436534310 Enrollment ID: I20220913001476 |
Provider Name | Raegan Mae Mcgrady |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093430753 PECOS PAC ID: 1850769498 Enrollment ID: I20221201002324 |
Provider Name | Johanna Steege French |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033831805 PECOS PAC ID: 1557739133 Enrollment ID: I20221202000357 |
Provider Name | Harold F Stepanek |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1205928199 PECOS PAC ID: 4688044266 Enrollment ID: I20221222000818 |
Provider Name | Shirlene Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407507296 PECOS PAC ID: 6608247739 Enrollment ID: I20230126003485 |
Provider Name | Loubna T Scally |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1447219878 PECOS PAC ID: 2668420100 Enrollment ID: I20230201002320 |
Provider Name | Amber Nicole Zax |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033823596 PECOS PAC ID: 2668845835 Enrollment ID: I20230309000385 |
Provider Name | Natasha Brittney Estep |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952001737 PECOS PAC ID: 6305203720 Enrollment ID: I20230531000164 |
Provider Name | Carrie Beth White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790485092 PECOS PAC ID: 4981062502 Enrollment ID: I20230614000773 |
Provider Name | Shannon Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902596489 PECOS PAC ID: 9436517943 Enrollment ID: I20230615000616 |
Provider Name | Cynthia Lecloux |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841306206 PECOS PAC ID: 3779599444 Enrollment ID: I20230627001551 |
Provider Name | Tracy Goen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770561995 PECOS PAC ID: 8224086780 Enrollment ID: I20230912000802 |
Provider Name | Kelli Ann Wallace |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558009936 PECOS PAC ID: 1456715119 Enrollment ID: I20230913002525 |
Provider Name | Akinyele Akinyoola |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1144875139 PECOS PAC ID: 6305176199 Enrollment ID: I20230919003943 |
Provider Name | Charles Keith Moon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285418848 PECOS PAC ID: 3072967363 Enrollment ID: I20230920001223 |
Provider Name | Heather Lindsay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508583352 PECOS PAC ID: 5597119487 Enrollment ID: I20230926003637 |
Provider Name | Candace Loucks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326725243 PECOS PAC ID: 3375999824 Enrollment ID: I20231019003090 |
Provider Name | Kayla Tomlin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952186736 PECOS PAC ID: 9739535188 Enrollment ID: I20231023000054 |
Provider Name | Jenna Holt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841079449 PECOS PAC ID: 3779939533 Enrollment ID: I20231031000472 |
Provider Name | Rohina Ahmed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770364861 PECOS PAC ID: 3274980578 Enrollment ID: I20231108000963 |
Provider Name | Shaellyn K Zeviar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124805700 PECOS PAC ID: 2466809629 Enrollment ID: I20231109000297 |
Provider Name | Wondimu Shanko Yirga |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881321891 PECOS PAC ID: 3779930888 Enrollment ID: I20231111000064 |
Provider Name | Matthew Slawter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114416971 PECOS PAC ID: 2264787332 Enrollment ID: I20231117003226 |
Provider Name | Tracy M Morgan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467150342 PECOS PAC ID: 2961851415 Enrollment ID: I20231211000290 |
Provider Name | Sherri Lynn Sapp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942088919 PECOS PAC ID: 2668822503 Enrollment ID: I20231219001352 |
Provider Name | Anna Dinello |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982466348 PECOS PAC ID: 7719323153 Enrollment ID: I20240307004307 |
Provider Name | Abdul Kawa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891566444 PECOS PAC ID: 9537505698 Enrollment ID: I20240311004021 |
Provider Name | Devanshi Soni |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528823903 PECOS PAC ID: 9234576810 Enrollment ID: I20240318003727 |
Provider Name | John Gilstad |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669473856 PECOS PAC ID: 5395927073 Enrollment ID: I20240425003044 |
Provider Name | Daveda Graham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285078287 PECOS PAC ID: 7416248190 Enrollment ID: I20240426003039 |
Provider Name | Jeremy Whited |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790534378 PECOS PAC ID: 8820530074 Enrollment ID: I20240604001353 |