| Dominika Obrien, APRN, FNP-BC | |
|
100 Old Marlton Pike W, Marlton, NJ 08053 | |
| (856) 393-2440 | |
| Not Available |
| Full Name | Dominika Obrien |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 100 Old Marlton Pike W, Marlton, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861071797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN628835 (Pennsylvania) | Secondary |
| 363L00000X | Nurse Practitioner | 26NR1958830 (New Jersey) | Primary |
| Entity Name | Lipolaser Of South Jersey Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205443405 PECOS PAC ID: 5193135168 Enrollment ID: O20201103000074 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominika Obrien, APRN, FNP-BC 100 W Old Marlton Pike, Marlton, NJ 08053 Ph: (856) 596-3000 | Dominika Obrien, APRN, FNP-BC 100 Old Marlton Pike W, Marlton, NJ 08053 Ph: (856) 393-2440 |
Dorothy Westlake, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Rt. 73 North, Upper Level A & Main Level, Marlton, NJ 08053 Phone: 856-988-3444 | |
Phenita Sammantha Mouzon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 777 Route 70 E Ste G101, Marlton, NJ 08053 Phone: 856-818-4020 | |
Mrs. Lisa Spurlock Abrams, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 E Route 70, Building A, Marlton, NJ 08053 Phone: 856-797-4721 | |
Letisha Hogans, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 765 Route 70 E Bldg A-101, Marlton, NJ 08053 Phone: 856-797-4800 | |
Mrs. Yingqiao Chen, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2003 Lincoln Dr W Ste B, Marlton, NJ 08053 Phone: 856-886-8839 Fax: 856-210-1874 | |
Ms. Fleurdeliz Alabanzas Germodo, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 141 Route 70 E Ste B, Marlton, NJ 08053 Phone: 856-596-9057 | |
Ms. Maria Terresa Pauciello, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Route 73 N Upper Level A & Main Level, Marlton, NJ 08053 Phone: 856-988-3444 Fax: 856-795-3625 |