| Alan W Motter, FNP -C | |
|
1110 E Route 66, Flagstaff, AZ 86001-4771 | |
| (928) 773-9695 | |
| (928) 772-0208 |
| Full Name | Alan W Motter |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 1110 E Route 66, Flagstaff, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962470963 | NPI | - | NPPES |
| 00640 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN076694 (Arizona) | Primary |
| 363LF0000X | Nurse Practitioner - Family | AZ AP 2229 (Arizona) | Secondary |
| Entity Name | North Country Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073583472 PECOS PAC ID: 8820981053 Enrollment ID: O20040210001107 |
| Entity Name | Nextcare Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043371826 PECOS PAC ID: 9537161260 Enrollment ID: O20070209000357 |
| Entity Name | Altacare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154849610 PECOS PAC ID: 3274892153 Enrollment ID: O20180123000788 |
| Mailing Address | Practice Location Address |
|---|---|
| Alan W Motter, FNP -C 1110 E Route 66, Flagstaff, AZ 86001-4771 Ph: (928) 773-9695 | Alan W Motter, FNP -C 1110 E Route 66, Flagstaff, AZ 86001-4771 Ph: (928) 773-9695 |
Leah Marie Coffman Paul, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366 | |
Teresa Block, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2187 N Vickey St, Flagstaff, AZ 86004 Phone: 928-714-6401 Fax: 928-714-6480 | |
Jessica M Mills, DNP, PMHNP-BC Registered Nurse Medicare: May Accept Medicare Assignments Practice Location: 2187 N Vickey St, Flagstaff, AZ 86004 Phone: 928-527-1899 | |
Mrs. Susan N Brown, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3285 E Sparrow Ave, Flagstaff, AZ 86004 Phone: 928-527-6163 | |
Katrina Mikitik, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2920 N 4th St, Flagstaff, AZ 86004 Phone: 928-864-9374 | |
Ms. Marlys Kay Balzer, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 W Elm Ave, Flagstaff, AZ 86001 Phone: 928-773-8102 Fax: 928-773-8146 | |
Neina Orrillo, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504 |