| Casandra Ray Hamlin, AGNP-BC | |
|
1719 N Dysart Rd, Avondale, AZ 85392-1213 | |
| (623) 232-3322 | |
| (415) 252-7176 |
| Full Name | Casandra Ray Hamlin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 1719 N Dysart Rd, Avondale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760962823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | AP61507866 (Washington) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | AP11386 (Arizona) | Primary |
| Entity Name | Iora Senior Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619376456 PECOS PAC ID: 0143520189 Enrollment ID: O20151124001666 |
| Mailing Address | Practice Location Address |
|---|---|
| Casandra Ray Hamlin, AGNP-BC 2075 S Cottonwood Dr, Tempe, AZ 85282-3040 Ph: () - | Casandra Ray Hamlin, AGNP-BC 1719 N Dysart Rd, Avondale, AZ 85392-1213 Ph: (623) 232-3322 |
Mr. Justin Markel Belford, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3426 N 126th Dr, Avondale, AZ 85392 Phone: 623-695-4011 | |
Courtney Standifird, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10450 W Mcdowell Rd Ste 101, Avondale, AZ 85392 Phone: 623-935-1000 | |
Kia Lambeth, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10815 W Mcdowell Rd Ste 305, Avondale, AZ 85392 Phone: 623-936-3312 Fax: 623-936-4248 | |
Amy Christine Amore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13075 W Mcdowell Rd Ste D106, Avondale, AZ 85392 Phone: 623-547-0522 | |
Mrs. Marytza Olivas-osuna, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13055 W Mcdowell Rd Ste G112, Avondale, AZ 85392 Phone: 623-322-5900 | |
Joyce Akosua Bour, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12729 W Monte Vista Rd, Avondale, AZ 85392 Phone: 623-792-0209 | |
Bolatito Oyeronke Okougbo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10926 W Ivory Ln, Avondale, AZ 85392 Phone: 623-977-7644 |