| Judith Bliss, FNP-C | |
|
17335 S Ridgerunner Dr, Vail, AZ 85641-1448 | |
| (999) 999-9999 | |
| Not Available |
| Full Name | Judith Bliss |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 17335 S Ridgerunner Dr, Vail, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114412681 | NPI | - | NPPES |
| 475454 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP11457 (Arizona) | Primary |
| Entity Name | P3 Health Partners Professional Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356817332 PECOS PAC ID: 3375888647 Enrollment ID: O20181214003039 |
| Entity Name | Tmc Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649759606 PECOS PAC ID: 7416295688 Enrollment ID: O20200326000484 |
| Mailing Address | Practice Location Address |
|---|---|
| Judith Bliss, FNP-C 17335 S Ridgerunner Dr, Vail, AZ 85641-1448 Ph: () - | Judith Bliss, FNP-C 17335 S Ridgerunner Dr, Vail, AZ 85641-1448 Ph: (999) 999-9999 |
Barbara L Hanisch-lucas, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13299 E Colossal Cave Rd, Vail, AZ 85641 Phone: 520-762-5200 Fax: 520-407-5990 | |
Julia D Shemek, DNP, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9074 S Lanai Ln, Vail, AZ 85641 Phone: 520-812-0001 Fax: 364-202-9201 | |
Melissa Amber Gummo, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13299 E Colossal Cave Rd, Vail, AZ 85641 Phone: 520-762-5200 | |
Alex Gold, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17357 S Indigo Mesa Pass, Vail, AZ 85641 Phone: 914-208-3818 | |
Sylvia Fischer, CNM FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14121 E Via Del Abrigo, Vail, AZ 85641 Phone: 206-940-2610 | |
Amanda Demeritt, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13180 E Colossal Cave Rd Ste 150, Vail, AZ 85641 Phone: 520-762-1557 |