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. |
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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 |
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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 |
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Provider Enumeration Date | 07/07/2021 |
Last Update Date | 07/07/2021 |
Certification Date | 07/06/2021 |
Medicare PECOS PAC ID | 1658754676 |
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Medicare Enrollment ID | O20220823003929 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154992493 | NPI | - | NPPES |
Provider Name | Ijeoma Nwaeze |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881002566 PECOS PAC ID: 7012206030 Enrollment ID: I20220823003976 |
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