| Debra Vigil, | |
|
865 N Arizola Rd, Casa Grande, AZ 85122-6011 | |
| (520) 831-3446 | |
| Not Available |
| Full Name | Debra Vigil |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 865 N Arizola Rd, Casa Grande, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821419490 | NPI | - | NPPES |
| 217214-4405 | Other | UT | APRN LICENSE |
| 217214-8900 | Other | UT | APRN CONTROLLED SUBSTANCE SCHEDULE 2-5 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 217214-4405 (Utah) | Secondary |
| 363L00000X | Nurse Practitioner | AP5460 (Arizona) | Primary |
| Entity Name | Utah Pain & Rehab Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689788762 PECOS PAC ID: 5799682134 Enrollment ID: O20031215000727 |
| Entity Name | Optum Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306275227 PECOS PAC ID: 7214168111 Enrollment ID: O20201221001430 |
| Mailing Address | Practice Location Address |
|---|---|
| Debra Vigil, 865 N Arizola Rd, Casa Grande, AZ 85122-6011 Ph: (520) 831-3446 | Debra Vigil, 865 N Arizola Rd, Casa Grande, AZ 85122-6011 Ph: (520) 831-3446 |
Mrs. Tiffany Nicole Valdez, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1811 E Mcmurray Blvd, Casa Grande, AZ 85122 Phone: 520-374-6530 | |
Mrs. Krista Marie Nielsen, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1676 E. Mcmurray Blvd, Cgrmc Urgent Care, Casa Grande, AZ 85222 Phone: 520-316-0688 | |
Essie Harrell, FNP BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 865 N Arizola Rd, Casa Grande, AZ 85122 Phone: 520-836-3446 Fax: 520-836-8807 | |
Kristin Marie Grammatico, CRNA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 E Florence Blvd, Casa Grande, AZ 85122 Phone: 520-381-6150 | |
Mrs. Carolyn Beth Schooley, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 560 N Camino Mercado Ste 7, Casa Grande, AZ 85122 Phone: 520-836-5538 Fax: 844-772-0049 | |
Jennifer Ann Nies, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1653 E Mcmurray Blvd Ste 132, Casa Grande, AZ 85122 Phone: 520-876-0478 | |
Seth Thomas Six, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 560 N Camino Mercado Ste 7, Casa Grande, AZ 85122 Phone: 520-836-5538 Fax: 844-772-0049 |