| Samjhana Thapa, | |
|
74455 Joe Davis Dr Apt 104, Twentynine Palms, CA 92277-2384 | |
| (618) 203-3133 | |
| Not Available |
| Full Name | Samjhana Thapa |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 74455 Joe Davis Dr Apt 104, Twentynine Palms, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023870003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4015509 (Kentucky) | Primary |
| Entity Name | Healthy Living Primary Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760979124 PECOS PAC ID: 3375808900 Enrollment ID: O20180531000554 |
| Entity Name | Grace Primary Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679058804 PECOS PAC ID: 6800130949 Enrollment ID: O20181130001464 |
| Mailing Address | Practice Location Address |
|---|---|
| Samjhana Thapa, 74455 Joe Davis Dr Apt 104, Twentynine Palms, CA 92277-2384 Ph: (618) 203-3133 | Samjhana Thapa, 74455 Joe Davis Dr Apt 104, Twentynine Palms, CA 92277-2384 Ph: (618) 203-3133 |
Mrs. Amy Wootten, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Naval Hospital Attn Professional Affairs, Magtftc Mcagcc Box 788250, Twentynine Palms, CA 92278 Phone: 760-830-2258 | |
Mrs. Tasha Marie Wilson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1145 Sturgis Rd, Twentynine Palms, CA 92278 Phone: 760-830-2190 | |
Ian Gabriel Austria Mojica, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1145 Sturgis Road, Twentynine Palms, CA 92278 Phone: 760-830-2724 | |
Mrs. Ada Chelan Dee, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1145 Sturgis Road, Sp 66, Twentynine Palms, CA 92278 Phone: 760-830-2117 | |
Mr. Darryl Bien Sol, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1145 Sturgis Street, Twentynine Palms, CA 92278 Phone: 760-830-2200 | |
Janet Erin Bristow, FNP-C, WHNP-BC, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1145 Sturgis Rd, Twentynine Palms, CA 92284 Phone: 760-830-2190 |