| Vanhorn Healthcare 2 Llc | |
|
2403 N Stockton Hill Rd Ste 1&2 Kingman AZ 86401-4188 | |
| (928) 201-1189 | |
| Not Available |
| Full Name | Vanhorn Healthcare 2 Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2403 N Stockton Hill Rd Ste 1&2, Kingman, Arizona |
| Authorized Official Name and Position | Natacha Lynn Vanhorn (OWNER) |
| Authorized Official Contact | 9282011189 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanhorn Healthcare 2 Llc 2555 Corona Redonda Bullhead City AZ 86442-8312 Ph: (928) 201-1189 | Vanhorn Healthcare 2 Llc 2403 N Stockton Hill Rd Ste 1&2 Kingman AZ 86401-4188 Ph: (928) 201-1189 |
| NPI Number | 1306626361 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 10/05/2023 |
| Medicare PECOS PAC ID | 2668821950 |
|---|---|
| Medicare Enrollment ID | O20231212002364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306626361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jocelyn Rose Pawlicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356964522 PECOS PAC ID: 8325451743 Enrollment ID: I20210104001260 |
| Provider Name | Michelle Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033729454 PECOS PAC ID: 2668886581 Enrollment ID: I20210203002823 |
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