William Amistad Jr. (NPI# 1215380969, PAC ID# 2961782339) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1215380969 |
| PAC ID by PECOS | 2961782339 |
| Professional Enrollment ID | I20161201001553 |
| Full Name | William Amistad Jr. |
| Address |
100 E 24th St Suite 3a Yuma AZ 85364-8619 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030013 | YUMA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 100 E 24th St, Suite 3a, Yuma, AZ 85364-8619 |
| Street Address |
100 E 24TH ST SUITE 3A |
| City | YUMA |
| State | AZ |
| Zip | 85364-8619 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bolaji Kehinde Adetiba | Nurse Practitioner | Southwestern Palliative Care Associates Plc | 291 S Main St, Suite C, Yuma, AZ 85364-1435 |
| Ashley B Hart Ii | Psychologist, Clinical | 106 E 1st St, Suite D, Yuma, AZ 85364-1472 | |
| Shauna H Simpson | Nurse Practitioner | Southwestern Palliative Care Associates Plc | 1950 W 3rd St, Yuma, AZ 85364-1812 |
| Frances E Davison | Nurse Practitioner | Southwestern Palliative Care Associates Plc | 1950 W 3rd St, Yuma, AZ 85364-1812 |
| Cordelia M Holbert | Clinical Social Worker | 224 S 3rd Ave, Suite E216, Yuma, AZ 85364-2224 | |
| Lisa Ling | Nurse Practitioner | Community Intervention Associates Inc. | 410 S Maiden Ln, Yuma, AZ 85364-2319 |
| Mark S Plante | Physical Therapy | 381 S Main St, Yuma, AZ 85364-2340 | |
| Efoui Menyo Abotsi-kowu | Nurse Practitioner | Sunset Community Health Center Inc | 675 S Ave B, Yuma, AZ 85364-2749 |
| Lori L Burris | Nurse Practitioner | Sunset Community Health Center Inc | 675 S Ave B, Yuma, AZ 85364-2749 |
| Laura C Spindola | Nurse Practitioner | Sunset Community Health Center Inc | 675 S Ave B, Yuma, AZ 85364-2749 |
| Find all physicians in zip 85364 | |||
| City | YUMA |
| Zip Code | 85364 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | YUMA + NURSE PRACTITIONER |
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| 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.