| Bku Wound Management Pllc | |
|
4921 E Bell Rd Ste 205 Scottsdale AZ 85254-6002 | |
| (800) 640-3451 | |
| Not Available |
| Full Name | Bku Wound Management Pllc |
|---|---|
| Speciality | General Practice |
| Location | 4921 E Bell Rd Ste 205, Scottsdale, Arizona |
| Authorized Official Name and Position | Mariana Hankins (OFFICE MANAGER) |
| Authorized Official Contact | 8006403451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bku Wound Management Pllc Po Box 1200 Pleasant Grove UT 84062-1200 Ph: (800) 640-3451 | Bku Wound Management Pllc 4921 E Bell Rd Ste 205 Scottsdale AZ 85254-6002 Ph: (800) 640-3451 |
| NPI Number | 1306665724 |
|---|---|
| Provider Enumeration Date | 10/03/2024 |
| Last Update Date | 10/03/2024 |
| Medicare PECOS PAC ID | 7113450081 |
|---|---|
| Medicare Enrollment ID | O20241030002877 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306665724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Brodon K Urrutia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306080312 PECOS PAC ID: 7517144264 Enrollment ID: I20130731000114 |
| Provider Name | Larisa Lukoss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932649159 PECOS PAC ID: 3072890987 Enrollment ID: I20201215003261 |
| Provider Name | Flor Avila Fimbres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164023339 PECOS PAC ID: 1850703497 Enrollment ID: I20201223002054 |
| Provider Name | Tarah E Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174097299 PECOS PAC ID: 2264771740 Enrollment ID: I20210507002027 |
| Provider Name | Myrna-leticia Rivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871227116 PECOS PAC ID: 9436533551 Enrollment ID: I20220908001189 |
| Provider Name | Kimberly Cantu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205094463 PECOS PAC ID: 7810172558 Enrollment ID: I20240115000799 |
| Provider Name | Kathleen Ketelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033428198 PECOS PAC ID: 7012105349 Enrollment ID: I20240212000940 |
| Provider Name | Sandra White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356952840 PECOS PAC ID: 9931529898 Enrollment ID: I20240724003029 |
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