Sandra W Whitney (NPI# 1841686656, PAC ID# 3577882091) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1841686656 |
| PAC ID by PECOS | 3577882091 |
| Professional Enrollment ID | I20150505002684 |
| Full Name | Sandra W Whitney |
| Organization Legal Name | EL CENTRO FAMILY HEALTH |
| Address |
604 Catron Ave Wagon Md Clinic Wagon Mound NM 87752-0063 |
| Phone Number | 5756662288 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9830080688 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 321310 | HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS |
| Address | Phone | Organization |
|---|---|---|
| 604 Catron Ave, Wagon Md Clinic, Wagon Mound, NM 87752-0063 | 5756662288 | EL CENTRO FAMILY HEALTH |
| Organization Legal Name | EL CENTRO FAMILY HEALTH |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol-jean Hennessy | Nurse Practitioner | El Centro Family Health | 711 Bond St, Espanola, NM 87532-2729 |
| John Scott | Physician Assistant | El Centro Family Health | 502 4th St, Springer Clinic, Springer, NM 87747-0487 |
| Cheryl Hall | Physician Assistant | El Centro Family Health | 2243, Embudo, NM 87531-0098 |
| Leigh A Trivino | Physician Assistant | El Centro Family Health | 901 Baca Ave, Las Vegas, NM 87701-4000 |
| David N Gould | Physician Assistant | El Centro Family Health | 15136 State Hwy 75, Penasco Clinic, Penasco, NM 87553-0238 |
| Tracey E Garcia | Clinical Social Worker | El Centro Family Health | 2010 Industrial Park Rd, Espanola, NM 87532-3600 |
| Mary M Laumbach | Nurse Practitioner | El Centro Family Health | 555 Wagon Mound Hwy, Roy Clinic, Roy, NM 87743-0148 |
| Alfredo R Vigil | Family Medicine | El Centro Family Health | 1331 Gusdorf Rd, Taos, NM 87571-0516 |
| Christopher Alliman | Family Medicine | El Centro Family Health | 275 New Mexico 3 Bldg, 2 San Miguel Clinic, Ribera, NM 87560-0277 |
| Ann N Smith | Nurse Practitioner | El Centro Family Health | 3396 State Rd, Suite 96, Coyote, NM 87012-9712 |
| Street Address |
604 CATRON AVE WAGON MD CLINIC |
| City | WAGON MOUND |
| State | NM |
| Zip | 87752-0063 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Joy | Nurse Practitioner | El Centro Family Health | 604 Catron Ave, Wagon Md Clinic, Wagon Mound, NM 87752-0063 |
| Elizabeth J Riedel | Physician Assistant | El Centro Family Health | 604 Catron Ave, Wagon Mound, NM 87752-0063 |
| Heather Bates | Nurse Practitioner | El Centro Family Health | 604 Catron Ave, Wagon Md Clinic, Wagon Mound, NM 87752-0063 |
| Ruthie A Guzman | Nurse Practitioner | El Centro Family Health | 604 Catron Ave, Wagon Md Clinic, Wagon Mound, NM 87752-0063 |
| Melody M A Avila | Nurse Practitioner | El Centro Family Health | 604 Catron Ave, Wagon Mound, NM 87752-0063 |
| City | WAGON MOUND |
| Zip Code | 87752 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WAGON MOUND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sandra W Whitney.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.