| Edelweiss Von Maack, NP-C | |
|
24785 Stewart St Ste 111, Loma Linda, CA 92350-1721 | |
| (909) 558-4594 | |
| (909) 558-0433 |
| Full Name | Edelweiss Von Maack |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 24785 Stewart St Ste 111, Loma Linda, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093128860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | AP60451797 (Washington) | Primary |
| Entity Name | Bastion Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750921193 PECOS PAC ID: 1557790896 Enrollment ID: O20200407002530 |
| Mailing Address | Practice Location Address |
|---|---|
| Edelweiss Von Maack, NP-C 24785 Stewart St., Suite 101, Loma Linda, CA 92354 Ph: (909) 558-4594 | Edelweiss Von Maack, NP-C 24785 Stewart St Ste 111, Loma Linda, CA 92350-1721 Ph: (909) 558-4594 |
Holly Cornejo, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Mrs. Kenya Neoko Singleton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton Street, Loma Linda, CA 92357 Phone: 909-825-7084 Fax: 909-777-3874 | |
Miss Christine Eunice Kurunathan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11034 Veach St, Loma Linda, CA 92354 Phone: 909-825-7084 Fax: 909-777-3291 | |
Krista Smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Kristina Pulliam Markey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson Strreet, Loma Linda, CA 92354 Phone: 909-558-5967 | |
Lauren Trajano, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8000 | |
Frances Rowena Mccann, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8514 |