| Tana Trujillo, | |
|
29380 Resolana Rd, Pueblo, CO 81006-9646 | |
| (719) 568-1406 | |
| Not Available |
| Full Name | Tana Trujillo |
|---|---|
| Gender | Female |
| Speciality | Certified Clinical Nurse Specialist (cns) |
| Experience | 19 Years |
| Location | 29380 Resolana Rd, Pueblo, Colorado |
| 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 |
|---|---|---|---|
| 1811300072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SA2100X | Clinical Nurse Specialist - Acute Care | 5604 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkview Medical Center, Inc | Pueblo, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Parkview Ancillary Services Corporation | 4385722511 | 273 |
| Poudre Valley Medical Group Llc | 9638208549 | 1992 |
| Entity Name | Parkview Ancillary Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248 |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Tana Trujillo, 29380 Resolana Rd, Pueblo, CO 81006-9646 Ph: (719) 568-1406 | Tana Trujillo, 29380 Resolana Rd, Pueblo, CO 81006-9646 Ph: (719) 568-1406 |
Janice Mary Whiting, NP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1304 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 | |
Kisha T Serrano, RN, BSN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 101 W 9th St, Pueblo, CO 81003 Phone: 719-583-4364 Fax: 719-583-4439 | |
Valarie V. Mills, CNS Clinical Nurse Specialist Medicare: May Accept Medicare Assignments Practice Location: 1401 Anita St, Pueblo, CO 81001 Phone: 719-225-6510 | |
Mrs. Criselle Elaine Tuckel, NNP-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 400 West 16th Street, Parkview Medical Center, Pueblo, CO 81003 Phone: 719-584-4000 | |
Jose L Maldonado Hevia, CRNA Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1008 Minnequa Ave, Pueblo, CO 81004 Phone: 800-228-4039 |