EDGAR MAYORQUIN (NPI# 1619462009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619462009 |
| Entity Type | Individual |
| Full Name | EDGAR MAYORQUIN |
| Credential | NP |
| Practice Address |
1896 E Babbitt Ln San Luis AZ 85349 |
| Mailing Address |
Po Box 617 Somerton AZ 85350-0617 |
| Practice Telephone | 9287226112 |
| Practice Fax Number | 9287226113 |
| Mailing Telephone | 9282368001 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP11434 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | PENDING | 05 |
| Street Address |
1896 E BABBITT LN |
| City | SAN LUIS |
| State | AZ |
| Zip Code | 85349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851413231 | Steven Lee Covington | Nurse Practitioner | 1896 E Babbitt Ln, San Luis, AZ 85349 | 2007-04-04 |
| 1801375126 | Gwendolyn Terrazas | Nurse Practitioner | 1896 E Babbitt Ln, San Luis, AZ 85349 | 2018-08-08 |
| 1063958676 | Adlene Joseph | Nurse Practitioner | 1896 E Babbitt Ln, San Luis, AZ 85349 | 2017-01-06 |
| 1528500576 | Victoria Lasala | Pediatrics | 1896 E Babbitt Ln, San Luis, AZ 85349 | 2016-11-08 |
| 1194277103 | Regional Center for Border Health, Inc Mobile Unit | Counselor | 1896 E Babbitt Ln, San Luis, AZ 85349 | 2016-10-26 |
| 1659823664 | Regional Center for Border Health, Inc. | Counselor | 1896 E Babbitt Ln, San Luis, AZ 85349 | 2016-10-26 |
| 1053862300 | Nathaniel Spencer Harriman | Physician Assistant | 1896 E Babbitt Ln, San Luis, AZ 85349 | 2016-10-21 |
| 1356894240 | Clarisse Ngueha-nana | Nurse Practitioner | 1896 E Babbitt Ln, San Luis, AZ 85349-7613 | 2016-07-27 |
| 1215396650 | Adrian Gutierrez | Nurse Practitioner | 1896 E Babbitt Ln, San Luis, AZ 85349 | 2016-02-13 |
| 1366677247 | Carolina Prieto | Counselor | 1896 E Babbitt Ln, San Luis, AZ 85349 | 2009-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598391351 | Bryson Lee Wandling | Physician Assistant | 815 E. Cesar Chavez Blvd., San Luis, AZ 85349 | 2020-03-12 |
| 1306482377 | Cecilia Denise Zepeda | Registered Nurse | 1250 N. 8th Avenue, San Luis, AZ 85349 | 2019-11-25 |
| 1184142317 | Rosenda Uribe | Specialist/Technologist | 337 Adobe St, San Luis, AZ 85349 | 2017-09-08 |
| 1033644372 | Lourens Rasmus Botha | Pharmacist | 1613 N Main Street, San Luis, AZ 85349 | 2017-04-24 |
| 1205389988 | Miriam Gonzalez | Dentist | 801 North 2nd Ave, San Luis, AZ 85349 | 2016-07-28 |
| 1386016269 | Isabel M Arias | Dental Hygienist | 1896 E. Babbitt Ln., San Luis, AZ 85349 | 2015-10-30 |
| 1801262308 | Rosario Alejandra Morales Villegas | Specialist/Technologist | 1657 E. B Street, San Luis, AZ 85349 | 2015-08-19 |
| 1598142291 | Manuel Angel Salcido | Specialist/Technologist, Other | 1959 E Georgina St, San Luis, AZ 85349 | 2015-05-01 |
| 1508269465 | Christina Mclean | Registered Nurse | 1250 N. 8 Ave., San Luis, AZ 85349 | 2014-10-06 |
| 1134542921 | Gerardo Garcia | Pharmacist | 1613 N Main St, San Luis, AZ 85349 | 2014-01-29 |
| Find all providers in zip 85349 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801375126 | Gwendolyn Terrazas | Nurse Practitioner | 1896 E Babbitt Ln, San Luis, AZ 85349 | 2018-08-08 |
| 1215396650 | Adrian Gutierrez | Nurse Practitioner | 1896 E Babbitt Ln, San Luis, AZ 85349 | 2016-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023339 | Flor Avila Fimbres | Nurse Practitioner | 5418 W Placita Del Risco, Tucson, AZ 85745-9550 | 2020-11-04 |
| 1205435781 | April Michelle Power | Nurse Practitioner | 198 S Coronado Dr Ste D, Sierra Vista, AZ 85635-6357 | 2020-10-26 |
| 1861091514 | Restoration Dermatology Lounge LLC | Nurse Practitioner | 8753 E Bell Rd Ste D101, Scottsdale, AZ 85260-1307 | 2020-10-23 |
| 1699374371 | Kelley Brooke Corl | Nurse Practitioner | 872 S Pheasant Dr, Gilbert, AZ 85296-0440 | 2020-10-22 |
| 1225637184 | Amy Chan Matchett | Nurse Practitioner | 2754 W Checkerspot Dr, Tucson, AZ 85741-5255 | 2020-10-21 |
| 1013514348 | Alecia L Brown | Nurse Practitioner | 1099 W Calle Del Libro Dorado, Sahuarita, AZ 85629-8148 | 2020-10-09 |
| 1912504812 | Jason Allen Vincent | Nurse Practitioner | 4970 N Azul Cir, Litchfield Park, AZ 85340-2734 | 2020-10-04 |
| 1376150219 | Whitney Griffin | Nurse Practitioner | 2700 N Hayden Rd Apt 1093, Scottsdale, AZ 85257-1750 | 2020-09-24 |
| 1114539335 | Kimberly Harken | Nurse Practitioner | 2270 S Ridgeview Dr Ste 300, Yuma, AZ 85364-8866 | 2020-08-19 |
| 1558972752 | Iva Tirres | Nurse Practitioner | 11000 N Scottsdale Rd Ste 110, Scottsdale, AZ 85254-6168 | 2020-08-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.