| Cesar Salazar Soto, CNP | |
|
1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 | |
| (240) 612-3782 | |
| (240) 612-3888 |
| Full Name | Cesar Salazar Soto |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 1060 W Perimeter Rd, Jb Andrews, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396154373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CNP-02486 (New Mexico) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | CNP-02486 (New Mexico) | Primary |
| Entity Name | First Choice Community Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902993132 PECOS PAC ID: 7315854049 Enrollment ID: O20040121001003 |
| Entity Name | Bella Vida Health Care And Medi Spa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568704237 PECOS PAC ID: 6507092327 Enrollment ID: O20131126000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Cesar Salazar Soto, CNP Po Box 50202, Albuquerque, NM 87181-0202 Ph: (505) 410-8818 | Cesar Salazar Soto, CNP 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 Ph: (240) 612-3782 |
Ms. Patricia Banaszek Hazard, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-612-1400 Fax: 240-312-1199 | |
Ms. Kathleen Marie Herberger, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-612-1874 | |
Staci Mcnair, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-857-7186 | |
Michelle Felicia Glover Woodie, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-612-3782 | |
Christine L Fontinel, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-612-1284 Fax: 240-612-2983 | |
Jennifer Adele Korkosz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1050 W Perimeter Rd, 779 Medical Group Sgcgm, Jb Andrews, MD 20762 Phone: 240-857-7447 |