| Mrs Emily Sumrall, RN, BSN | |
|
622 W Maple St Ste B, Farmington, NM 87401-6589 | |
| (505) 327-4867 | |
| (505) 327-5355 |
| Full Name | Mrs Emily Sumrall |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 622 W Maple St Ste B, Farmington, 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 |
|---|---|---|---|
| 1588448310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 57288 (New Mexico) | Secondary |
| 363L00000X | Nurse Practitioner | 57288 (New Mexico) | Primary |
| Entity Name | San Juan Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609809235 PECOS PAC ID: 2264468503 Enrollment ID: O20050708000819 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Emily Sumrall, RN, BSN 1548 Volponi Dr Se, Albuquerque, NM 87123-2785 Ph: (940) 206-2649 | Mrs Emily Sumrall, RN, BSN 622 W Maple St Ste B, Farmington, NM 87401-6589 Ph: (505) 327-4867 |
Erin Tinker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 407 S Schwartz Ave Ste 102, Farmington, NM 87401 Phone: 505-609-6700 Fax: 505-609-6700 | |
Anariza Grush, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 W Broadway, Farmington, NM 87401 Phone: 505-327-4796 | |
Bethany Lynn Jones, AGPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 W Broadway, Farmington, NM 87401 Phone: 505-327-4796 Fax: 505-599-9351 | |
Shailah Bevan, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 W Broadway Ste D&e, Farmington, NM 87401 Phone: 505-327-4796 Fax: 505-443-8335 | |
Jovite A Larroy, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 W Broadway Ste E, Farmington, NM 87401 Phone: 505-327-4796 | |
Clay Church, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Ms. Mois A Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 203 W Main St, Farmington, NM 87401 Phone: 505-517-4181 Fax: 505-333-0444 |