| Veronica Frances Mata, | |
|
1400 Main St Nw Ste M, Los Lunas, NM 87031-4866 | |
| (505) 916-0533 | |
| Not Available |
| Full Name | Veronica Frances Mata |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1400 Main St Nw Ste M, Los Lunas, 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 |
|---|---|---|---|
| 1679350466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R65877 (New Mexico) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 80605 (New Mexico) | Primary |
| Entity Name | Bella Vida Health Care And Medi Spa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568704237 PECOS PAC ID: 6507092327 Enrollment ID: O20131126000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Veronica Frances Mata, 1400 Main St Nw Ste M, Los Lunas, NM 87031-4866 Ph: (505) 916-0533 | Veronica Frances Mata, 1400 Main St Nw Ste M, Los Lunas, NM 87031-4866 Ph: (505) 916-0533 |
Jessica Wood, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Main St Nw, Los Lunas, NM 87031 Phone: 505-916-0533 | |
Ms. Twila Kay Reider, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 127 Sandoval Rd Sw, Los Lunas, NM 87031 Phone: 505-865-3373 Fax: 505-865-2078 | |
Mrs. Elsa Marie Gonzales, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Emilio Lopez Rd Nw, Los Lunas, NM 87031 Phone: 505-866-2700 Fax: 505-866-2701 | |
Tiara T Muhr, RN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Sandoval Rd Sw, Los Lunas, NM 87031 Phone: 505-565-4355 | |
Dannial Rene Coston, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1202 Main St Ne Ste A, Los Lunas, NM 87031 Phone: 505-565-0070 | |
Jamie D Sandoval, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Emilio Lopez Rd Nw, Los Lunas, NM 87031 Phone: 505-934-6628 | |
Edward Charles Gabaldon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1044 Main St Ne, Los Lunas, NM 87031 Phone: 505-814-1995 |