Brad Nielson, | |
1930 N Haiden Ln, Willcox, AZ 85643-3396 | |
(480) 335-1862 | |
Not Available |
Full Name | Brad Nielson |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1930 N Haiden Ln, Willcox, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285246041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN211989 (Arizona) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 293673 (Arizona) | Primary |
Entity Name | Bisbee Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518968767 PECOS PAC ID: 5092626168 Enrollment ID: O20040623001007 |
Entity Name | Anesthesia Partners Of Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619452901 PECOS PAC ID: 8628317179 Enrollment ID: O20190228001927 |
Entity Name | Anesthesia Services Of Arizona Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336857085 PECOS PAC ID: 6608247374 Enrollment ID: O20230118000286 |
Mailing Address | Practice Location Address |
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Brad Nielson, 1930 N Haiden Ln, Willcox, AZ 85643-3396 Ph: (480) 335-1862 | Brad Nielson, 1930 N Haiden Ln, Willcox, AZ 85643-3396 Ph: (480) 335-1862 |
Craig White, CRNA, MS Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8701 W County Line Rd, Willcox, AZ 85643 Phone: 662-801-8866 |