| Kirk Shim, APRN | |
|
167 North Main Street, Tuba City, AZ 86045 | |
| (928) 283-2501 | |
| Not Available |
| Full Name | Kirk Shim |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 167 North Main Street, Tuba City, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033491006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP10587 (Arizona) | Primary |
| Entity Name | Tuba City Regional Health Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107 |
| Mailing Address | Practice Location Address |
|---|---|
| Kirk Shim, APRN 167 North Main Street, Tuba City, AZ 86045-1302 Ph: () - | Kirk Shim, APRN 167 North Main Street, Tuba City, AZ 86045 Ph: (928) 283-2501 |
Ms. Deanna Jane Kristofic, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 | |
Tracey Joanne Fender, P.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 167 North Main St., Tuba City, AZ 86045 Phone: 928-283-2679 | |
Leanne J Muniz, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 167 N Main St, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Katherine Bussard, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 167 N Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 | |
Linda A Capdeboscq, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 Cedar Ave, Tuba City, AZ 86045 Phone: 928-283-2402 Fax: 208-746-6348 | |
Ms. Terris M Thompson, MSN,WHCNP-BC FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 167 N. Main, Tuba City, AZ 86045 Phone: 928-283-2501 |