Caroline Tracey, FNP | |
Us 191 & Az 264, Ganado, AZ 86505 | |
(928) 755-4933 | |
(928) 755-4831 |
Full Name | Caroline Tracey |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | Us 191 & Az 264, Ganado, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740452457 | NPI | - | NPPES |
H3451 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP3896 (Arizona) | Primary |
Entity Name | Winslow Indian Health Care Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184729493 PECOS PAC ID: 4284548991 Enrollment ID: O20031117000864 |
Entity Name | Dhhs Phs Naihs Crownpoint Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114960093 PECOS PAC ID: 0143128041 Enrollment ID: O20031230000393 |
Mailing Address | Practice Location Address |
---|---|
Caroline Tracey, FNP Us 191 & Az 264, Box 457, Ganado, AZ 86505-0457 Ph: (928) 755-4632 | Caroline Tracey, FNP Us 191 & Az 264, Ganado, AZ 86505 Ph: (928) 755-4933 |
Mrs. Alberta Diane Espinoza-lyons, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Us 191 & Az 264, Ganado, AZ 86505 Phone: 928-755-4632 Fax: 928-755-4831 | |
Kathryn Barron, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Us 191 & Az 264, Ganado, AZ 86505 Phone: 928-755-4632 Fax: 928-755-4831 | |
Rona Lee Suen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Us Hwy 191 & Us 264, Ganado, AZ 86505 Phone: 928-707-4705 | |
Estar Ruth Denny, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Po Box 457, Ganado, AZ 86505 Phone: 480-406-3675 | |
Aurelia Lois Taylor, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Us 191 & Az 264, Ganado, AZ 86505 Phone: 928-755-4632 Fax: 928-755-4831 | |
Colleen Frank, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Sr 264 & Hwy 191, Ganado, AZ 86505 Phone: 928-755-4632 Fax: 928-755-4831 | |
Patricia Ann Blosser, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Hwy 191 St Rt 264, Ganado, AZ 86505 Phone: 928-755-4559 |