| Dan Nurse Practitioner Services, Llc | |
|
200 W Frontier St Suite M Payson AZ 85541-5362 | |
| (928) 595-1176 | |
| (928) 478-6206 |
| Full Name | Dan Nurse Practitioner Services, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 200 W Frontier St, Payson, Arizona |
| Authorized Official Name and Position | Deborah Ann Nichols (PRINCIPAL OFFICER) |
| Authorized Official Contact | 9285951176 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dan Nurse Practitioner Services, Llc 200 W. Frontier Suite M Payson AZ 85541-7443 Ph: (928) 595-1176 | Dan Nurse Practitioner Services, Llc 200 W Frontier St Suite M Payson AZ 85541-5362 Ph: (928) 595-1176 |
| NPI Number | 1477858801 |
|---|---|
| Provider Enumeration Date | 01/15/2011 |
| Last Update Date | 02/04/2014 |
| Medicare PECOS PAC ID | 3577745041 |
|---|---|
| Medicare Enrollment ID | O20110305000066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477858801 | NPI | - | NPPES |
| 70871 | Other | AZ | MEDICARE ID NUMBER |
| Provider Name | Deborah A Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962425389 PECOS PAC ID: 4880645183 Enrollment ID: I20050203000615 |
Banner Payson Medical Center - Banner Health Clinic Payson Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 E Main St Ste A100, Payson, AZ 85541 Phone: 928-596-4500 Fax: 928-596-4545 | |
North Country Healthcare Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 126 E Main St Ste B, Payson, AZ 85541 Phone: 928-472-3700 Fax: 928-468-8605 | |
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Ponderosa Family Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 806 S Ponderosa St, Payson, AZ 85541 Phone: 928-468-8603 | |
Banner Good Samaritan Liver Disease Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E Main St, Suite A, Payson, AZ 85541 Phone: 602-839-4123 | |
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