| Nicole B Cantos, NP | |
|
413 29th St Ne Ste I, Puyallup, WA 98372-7154 | |
| (855) 255-1750 | |
| (855) 255-0905 |
| Full Name | Nicole B Cantos |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 413 29th St Ne Ste I, Puyallup, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992409841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP61400022 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| United Wound Healing Ps | 2860794070 | 32 |
| Entity Name | United Wound Healing PS |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669845327 PECOS PAC ID: 2860794070 Enrollment ID: O20160105002318 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole B Cantos, NP 413 29th St Ne Ste I, Puyallup, WA 98372-7154 Ph: (855) 255-1750 | Nicole B Cantos, NP 413 29th St Ne Ste I, Puyallup, WA 98372-7154 Ph: (855) 255-1750 |
Melinda Moore, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6332 Summerwood Dr E, Puyallup, WA 98373 Phone: 253-228-9674 |
Oscar Herrera, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 15th Ave Se, Puyallup, WA 98372 Phone: 253-697-8610 |
Corene Kimberly Irvin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15508 80th Avenue Ct E, Puyallup, WA 98375 Phone: 785-630-0608 |
Mark Perpose, DNP, ARNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15507 85th Ave E, Puyallup, WA 98375 Phone: 808-635-4543 |
Jacqueline Lee, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14506 110th Ave E, Puyallup, WA 98374 Phone: 253-393-0336 |
Sara R Husarik, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1706 Meridian S, Suite 120, Puyallup, WA 98371 Phone: 253-848-8797 Fax: 253-446-3239 |
Dr. Timothy C Wical Jr., BSN, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15406 Meridian E, Puyallup, WA 98375 Phone: 253-509-1777 Fax: 949-577-4515 |