| Cerrone Family Healthcare, Llc | |
|
104 Quail Trl Ste B Edgewood NM 87015-7197 | |
| (505) 926-9800 | |
| Not Available |
| Full Name | Cerrone Family Healthcare, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 104 Quail Trl Ste B, Edgewood, New Mexico |
| Authorized Official Name and Position | Ashley Autrey (MANGER) |
| Authorized Official Contact | 5052491369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cerrone Family Healthcare, Llc 104 Quail Trl Ste B Edgewood NM 87015-7197 Ph: (505) 926-9700 | Cerrone Family Healthcare, Llc 104 Quail Trl Ste B Edgewood NM 87015-7197 Ph: (505) 926-9800 |
| NPI Number | 1790558880 |
|---|---|
| Provider Enumeration Date | 11/01/2023 |
| Last Update Date | 11/08/2023 |
| Medicare PECOS PAC ID | 7113375122 |
|---|---|
| Medicare Enrollment ID | O20231201001731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790558880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lindsay Sue Cerrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861028102 PECOS PAC ID: 7719393495 Enrollment ID: I20210303002312 |
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