| Boriana Rousseva Nikolova, FNP-BC | |
|
410 N Malacate St, Ajo, AZ 85321-2253 | |
| (520) 387-5651 | |
| Not Available |
| Full Name | Boriana Rousseva Nikolova |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 410 N Malacate St, Ajo, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598432585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 261942 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ajo Community Health Center | 3476441866 | 11 |
| Entity Name | Ajo Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114037496 PECOS PAC ID: 3476441866 Enrollment ID: O20040308000777 |
| Entity Name | Canyon Family Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780349902 PECOS PAC ID: 0547650350 Enrollment ID: O20211210001046 |
| Mailing Address | Practice Location Address |
|---|---|
| Boriana Rousseva Nikolova, FNP-BC 410 N Malacate St, Ajo, AZ 85321-2254 Ph: (520) 387-5651 | Boriana Rousseva Nikolova, FNP-BC 410 N Malacate St, Ajo, AZ 85321-2253 Ph: (520) 387-5651 |
Mrs. Debra D Leonard, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 410 N Malacate St, Ajo, AZ 85321 Phone: 520-387-5651 | |
Ms. Fatima Ayodele Lah, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 N Malacate St, Ajo, AZ 85321 Phone: 520-387-5651 | |
John Charles Sauer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 N Malacate St, Ajo, AZ 85321 Phone: 520-387-5651 Fax: 520-387-5347 |