| Lynne A Vigil, NP | |
| 
					806 S Ponderosa St, Payson, AZ 85541-5541  | |
| (928) 468-8603 | |
| (928) 468-8625 | 
| Full Name | Lynne A Vigil | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 806 S Ponderosa St, Payson, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1912967704 | NPI | - | NPPES | 
| 146507 | Medicaid | AZ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 244 (Arizona) | Primary | 
| Entity Name | Ponderosa Family Care Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1144535626 PECOS PAC ID: 1456548015 Enrollment ID: O20101208000388  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lynne A Vigil, NP 806 S Ponderosa St, Payson, AZ 85541-5541 Ph: (928) 468-8603  | Lynne A Vigil, NP 806 S Ponderosa St, Payson, AZ 85541-5541 Ph: (928) 468-8603  | 
Tara Gann, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 405 W Main St Ste B, Payson, AZ 85541 Phone: 928-472-6000 Fax: 844-752-8246  | |
Rachel Denise Armstrong, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 W Main St, Payson, AZ 85541 Phone: 928-474-9399 Fax: 928-474-9831  | |
Christy Rene Carner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 W Pinecone Cir, Payson, AZ 85541 Phone: 602-989-0362  | |
Jessica L Balcom, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 807 S Ponderosa St, Payson, AZ 85541 Phone: 928-471-3222  | |
Ramona T Coppelli, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 708 Coeur D'alene, Payson, AZ 85541 Phone: 928-474-5259  | |
Suzanne Lea Morse, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 708 E State Highway 260 Ste B1, Payson, AZ 85541 Phone: 928-474-2234 Fax: 928-474-4056  | |
Mason Alden Standifird, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 708 S Coeur D Alene Ln Ste B, Payson, AZ 85541 Phone: 928-468-8603  |