| Adron Psychiatry & Addiction, S.c. | |
|
9117 S 20th St Oak Creek WI 53154-7465 | |
| (919) 906-2322 | |
| (414) 574-0011 |
| Full Name | Adron Psychiatry & Addiction, S.c. |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 9117 S 20th St, Oak Creek, Wisconsin |
| Authorized Official Name and Position | Ijeoma Nwaeze (PRESIDENT) |
| Authorized Official Contact | 9199062322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adron Psychiatry & Addiction, S.c. 9117 S 20th St Oak Creek WI 53154-7465 Ph: (919) 906-2322 | Adron Psychiatry & Addiction, S.c. 9117 S 20th St Oak Creek WI 53154-7465 Ph: (919) 906-2322 |
| NPI Number | 1154992493 |
|---|---|
| Provider Enumeration Date | 07/07/2021 |
| Last Update Date | 07/07/2021 |
| Certification Date | 07/06/2021 |
| Medicare PECOS PAC ID | 1658754676 |
|---|---|
| Medicare Enrollment ID | O20220823003929 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154992493 | NPI | - | NPPES |
| Provider Name | Ijeoma Nwaeze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881002566 PECOS PAC ID: 7012206030 Enrollment ID: I20220823003976 |
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