Evangelina P Miller (NPI# 1144599515, PAC ID# 1658532882) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1144599515 |
| PAC ID by PECOS | 1658532882 |
| Professional Enrollment ID | I20120416000764 |
| Full Name | Evangelina P Miller |
| Organization Legal Name | SAN PEDRO FAMILY CARE, PLC |
| Address |
890 W 4th St Benson AZ 85602-6437 |
| Phone Number | 5205863664 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1759304405 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 031301 | BENSON HOSPITAL |
| 030043 | CANYON VISTA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 890 W 4th St, Benson, AZ 85602-6437 | 5205863664 | SAN PEDRO FAMILY CARE, PLC |
| Organization Legal Name | SAN PEDRO FAMILY CARE, PLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy E Burton | Nurse Practitioner | San Pedro Family Care, Plc | 890 W 4th St, Benson, AZ 85602-6437 |
| Street Address |
890 W 4TH ST |
| City | BENSON |
| State | AZ |
| Zip | 85602-6437 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carter C Mayberry | Family Medicine | Tmc Medical Network | 890 W 4th St, Benson, AZ 85602-6437 |
| Adriana C Barcelo | Nurse Practitioner | Tmc Medical Network | 890 W 4th St, Benson, AZ 85602-6437 |
| Andrew W Mayberry | Family Medicine | Tmc Medical Network | 890 W 4th St, Benson, AZ 85602-6437 |
| Cassandra Clare Harrison | Internal Medicine | Tmc Medical Network | 890 W 4th St, Benson, AZ 85602-6437 |
| Tracy E Burton | Nurse Practitioner | San Pedro Family Care, Plc | 890 W 4th St, Benson, AZ 85602-6437 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara H Hartley | Family Medicine | Benson Hospital Corporation | 688 W 4th St, Suite B, Benson, AZ 85602-6315 |
| Soheila L Nouri | Internal Medicine | Benson Hospital Corporation | 688 W 4th St, Suite B, Benson, AZ 85602-6315 |
| Joshua P Clutter | Family Medicine | Benson Hospital Corporation | 688 W 4th St, Suite B, Benson, AZ 85602-6315 |
| Robert R Mccarver Iii | Diagnostic Radiology | Benson Hospital Corporation | 688 W 4th St, Suite B, Benson, AZ 85602-6315 |
| Imran Kazem | Diagnostic Radiology | Benson Hospital Corporation | 688 W 4th St, Suite B, Benson, AZ 85602-6315 |
| Paul Lampert | Diagnostic Radiology | Benson Hospital Corporation | 688 W 4th St, Suite B, Benson, AZ 85602-6315 |
| Jason P Patel | Family Medicine | Benson Hospital Corporation | 688 W 4th St, Suite B, Benson, AZ 85602-6315 |
| Rakesh H Patel | Diagnostic Radiology | Benson Hospital Corporation | 688 W 4th St, Suite B, Benson, AZ 85602-6315 |
| Waheed Jalalzai | Diagnostic Radiology | Benson Hospital Corporation | 688 W 4th St, Suite B, Benson, AZ 85602-6315 |
| Juan A Sandoval Gonzalez | Internal Medicine | Benson Hospital Corporation | 688 W 4th St, Suite B, Benson, AZ 85602-6315 |
| Find all physicians in zip 85602 | |||
| City | BENSON |
| Zip Code | 85602 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BENSON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Evangelina P Miller.
| 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.