Adaobi Maureen Adimorah, | |
400 N Pepper Ave, Colton, CA 92324-1801 | |
(909) 580-3145 | |
(909) 580-2165 |
Full Name | Adaobi Maureen Adimorah |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | 400 N Pepper Ave, Colton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114429719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95021094 (California) | Secondary |
163W00000X | Registered Nurse | 833377 (California) | Primary |
Entity Name | Grow Healthcare Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
Mailing Address | Practice Location Address |
---|---|
Adaobi Maureen Adimorah, 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-3145 | Adaobi Maureen Adimorah, 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-3145 |
Cindy Cozart, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1800 | |
Linda Matthews, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3144 Fax: 909-580-2165 | |
Brandi Deuel, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3144 Fax: 909-580-2165 | |
Chique Lou Flores, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1800 | |
Patricia Abba, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1800 | |
Mimosa Tumang, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1800 | |
Edith Harris, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1800 |