Zion Healing Nm, Llc | |
4001 N. Butler Ave Ste 3101 Farmington NM 87401-2365 | |
(505) 215-9639 | |
Not Available |
Full Name | Zion Healing Nm, Llc |
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Speciality | Clinic/Center |
Location | 4001 N. Butler Ave Ste 3101, Farmington, New Mexico |
Authorized Official Name and Position | Mylene Rae Manning (OWNER) |
Authorized Official Contact | 5052159639 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Zion Healing Nm, Llc 4001 N. Butler Ave Ste 3101 Farmington NM 87401-2365 Ph: (505) 215-9639 | Zion Healing Nm, Llc 4001 N. Butler Ave Ste 3101 Farmington NM 87401-2365 Ph: (505) 215-9639 |
NPI Number | 1730945593 |
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Provider Enumeration Date | 02/27/2024 |
Last Update Date | 02/27/2024 |
Medicare PECOS PAC ID | 5799125738 |
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Medicare Enrollment ID | O20240424003346 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730945593 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Esther D Verzi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326416082 PECOS PAC ID: 5294037347 Enrollment ID: I20160106000652 |
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