| Meredith Villarreal, | |
|
5048 W Northern Ave Ste 106, Glendale, AZ 85301-1558 | |
| (623) 435-0190 | |
| Not Available |
| Full Name | Meredith Villarreal |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5048 W Northern Ave Ste 106, Glendale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366819401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP7994 (Arizona) | Primary |
| Entity Name | Innovative Platinum Care Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114397056 PECOS PAC ID: 7012210461 Enrollment ID: O20160120000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Meredith Villarreal, 4140 N Central Ave, #2057, Phoenix, AZ 85012-1830 Ph: (623) 330-8388 | Meredith Villarreal, 5048 W Northern Ave Ste 106, Glendale, AZ 85301-1558 Ph: (623) 435-0190 |
Mrs. Melanie Ann Nugent, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5310 W Thunderbird Rd Ste 301, Glendale, AZ 85306 Phone: 602-865-4442 Fax: 602-865-4507 | |
Kaitlin Spivey, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7701 W Aspera Blvd, Glendale, AZ 85308 Phone: 623-248-2100 | |
Ruth E Sanders, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5041 N 86th Dr, Glendale, AZ 85305 Phone: 866-389-2727 Fax: 612-659-7101 | |
Ms. Christa L O'mara, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7701 W Aspera Blvd, Glendale, AZ 85308 Phone: 623-248-2108 | |
Emma Louise Keltgen, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6975 W Glendale Ave, Glendale, AZ 85303 Phone: 602-243-7277 Fax: 602-286-0808 | |
Joyce Kim, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6151-6153 W Olive Ave, Glendale, AZ 85302 Phone: 602-773-5546 | |
Anthony James Shaw, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7190 W Fleetwood Ln, Glendale, AZ 85303 Phone: 602-568-8381 |