| Mrs Barbara J Wallner, FNP | |
|
2133 Winterhaven Drive, Winterhaven, CA 92283 | |
| (760) 538-3073 | |
| (760) 205-0016 |
| Full Name | Mrs Barbara J Wallner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2133 Winterhaven Drive, Winterhaven, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548344856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 14096 (California) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 150372 (Arizona) | Secondary |
| Entity Name | Clinicas De Salud Del Pueblo Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346313889 PECOS PAC ID: 5496657082 Enrollment ID: O20071201000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Barbara J Wallner, FNP 78299 Yucca Blossom Dr, Palm Desert, CA 92211-1315 Ph: (818) 923-3910 | Mrs Barbara J Wallner, FNP 2133 Winterhaven Drive, Winterhaven, CA 92283 Ph: (760) 538-3073 |
Juanita Isabel Jalomo, MSN, APRN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2133 Winterhaven Dr, Winterhaven, CA 92283 Phone: 760-538-3073 Fax: 760-205-0016 | |
Rosa Maria Peralta, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 Picacho Road, Winterhaven, CA 92283 Phone: 760-572-4100 Fax: 760-572-2113 | |
Ms. Cynthia Ann Long, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Picacho Road, Winterhaven, CA 92283 Phone: 760-572-4100 Fax: 760-572-2113 | |
Ms. Mary Susan Buffington, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2133 Winterhaven Drive, Winterhaven, CA 92283 Phone: 760-572-2700 |