| Mr Edwin Akwanga, | |
|
1500 S Second St Ste B, Gallup, NM 87301-5898 | |
| (505) 420-5111 | |
| (505) 420-5114 |
| Full Name | Mr Edwin Akwanga |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1500 S Second St Ste B, Gallup, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659061323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1117773 (Texas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 73651 (New Mexico) | Primary |
| Entity Name | Compassionate Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154005858 PECOS PAC ID: 7416318506 Enrollment ID: O20230807000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Edwin Akwanga, 1500 S Second St Ste B, Gallup, NM 87301-5898 Ph: (505) 420-5111 | Mr Edwin Akwanga, 1500 S Second St Ste B, Gallup, NM 87301-5898 Ph: (505) 420-5111 |
Vernon Anthony Osborn, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2025 E Aztec Ave, Gallup, NM 87301 Phone: 505-863-3828 Fax: 505-443-8345 | |
Mrs. Gail Crawford, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Mrs. Relindis Mana Akwanga, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 N Fifth St, Gallup, NM 87301 Phone: 505-863-3120 Fax: 505-863-2961 | |
Donna J Rich, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 E Aztec Ave, Gallup, NM 87301 Phone: 432-888-4130 | |
Ms. Maria Elena Torres, ARNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1496 | |
John Simmons, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 Nm Highway 564, Gallup, NM 87301 Phone: 505-542-0090 Fax: 520-542-0155 | |
Mrs. Sanaa Baker, FAMILY NURSE PRACTIT Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2111 College Dr, Gallup, NM 87301 Phone: 505-863-1820 |