| Family Medicine Pc | |
|
3825 Eubank Blvd Ne Albuquerque NM 87111-3559 | |
| (505) 292-8575 | |
| (505) 292-8409 |
| Full Name | Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3825 Eubank Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Stephanie Henderson (PRACTICE MANAGER) |
| Authorized Official Contact | 5052928575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Pc 3825 Eubank Blvd Ne Albuquerque NM 87111-3575 Ph: (505) 292-8575 | Family Medicine Pc 3825 Eubank Blvd Ne Albuquerque NM 87111-3559 Ph: (505) 292-8575 |
| NPI Number | 1083802029 |
|---|---|
| Provider Enumeration Date | 10/03/2007 |
| Last Update Date | 01/20/2023 |
| Medicare PECOS PAC ID | 0042407603 |
|---|---|
| Medicare Enrollment ID | O20101208000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083802029 | NPI | - | NPPES |
| 44727 | Medicaid | NM |
| Provider Name | Kathleen Ann Kraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972619567 PECOS PAC ID: 7416906581 Enrollment ID: I20050317000937 |
| Provider Name | Jonathan A Cade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013155258 PECOS PAC ID: 5193862688 Enrollment ID: I20120418000811 |
| Provider Name | Candace Percifull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689941817 PECOS PAC ID: 1759557127 Enrollment ID: I20130211000180 |
| Provider Name | Genevieve Rae Cardona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558799080 PECOS PAC ID: 5991936361 Enrollment ID: I20140327001845 |
| Provider Name | Elea Ann Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558785626 PECOS PAC ID: 8123249885 Enrollment ID: I20141021002487 |
| Provider Name | Melinda O'neil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982885315 PECOS PAC ID: 7113245507 Enrollment ID: I20170509002677 |
| Provider Name | Marybeth Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417444977 PECOS PAC ID: 0840548251 Enrollment ID: I20180801001666 |
| Provider Name | Jessika M Junick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003313008 PECOS PAC ID: 9830449859 Enrollment ID: I20180912001006 |
| Provider Name | Natalia Josephine Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609375500 PECOS PAC ID: 5890047088 Enrollment ID: I20181017000897 |
| Provider Name | Jana Marie Welder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558831255 PECOS PAC ID: 5890031975 Enrollment ID: I20190110000882 |
| Provider Name | Dawn Michelle Geer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689014136 PECOS PAC ID: 7113161241 Enrollment ID: I20191119001537 |
| Provider Name | Phillip Yuen Nun Ma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598315772 PECOS PAC ID: 4789006834 Enrollment ID: I20200619000105 |
| Provider Name | Amy Jane Lozoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508410689 PECOS PAC ID: 5092137976 Enrollment ID: I20200623000927 |
| Provider Name | Cassandra Lynn Padilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275173940 PECOS PAC ID: 7315369071 Enrollment ID: I20200625001472 |
| Provider Name | Jenise Rancher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861038424 PECOS PAC ID: 7113340472 Enrollment ID: I20200706002491 |
| Provider Name | Jennifer Duffy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013687011 PECOS PAC ID: 6800283680 Enrollment ID: I20220426000493 |
| Provider Name | Haley Millender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912659582 PECOS PAC ID: 2365820198 Enrollment ID: I20220607000253 |
| Provider Name | Amanda Stratmoen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346962016 PECOS PAC ID: 5092186437 Enrollment ID: I20230124000598 |
| Provider Name | Shavonne Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699342493 PECOS PAC ID: 2769855642 Enrollment ID: I20230223000603 |
| Provider Name | Ashlea Maria Lucero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568237485 PECOS PAC ID: 5799134656 Enrollment ID: I20231218002646 |
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