| 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: Medicare Enrolled 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: Medicare Enrolled 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: Accepting Medicare Assignments Practice Location: 708 S Coeur D Alene Ln Ste B, Payson, AZ 85541 Phone: 928-468-8603 |