Emmanuela Agwu, | |
755 Heritage Rd, Ste 100, Golden, CO 80401-3600 | |
(303) 277-0700 | |
(303) 277-0714 |
Full Name | Emmanuela Agwu |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 755 Heritage Rd, Golden, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982062337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APN0992160 (Colorado) | Primary |
Entity Name | Longevity Clinical Ltc Associates Of Colorado Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972269793 PECOS PAC ID: 8325430689 Enrollment ID: O20220118001206 |
Mailing Address | Practice Location Address |
---|---|
Emmanuela Agwu, 755 Heritage Rd, Ste 100, Golden, CO 80401-3600 Ph: (303) 277-0700 | Emmanuela Agwu, 755 Heritage Rd, Ste 100, Golden, CO 80401-3600 Ph: (303) 277-0700 |
Danielle Marie Santry, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5920 Mcintyre St, Golden, CO 80403 Phone: 720-434-4876 Fax: 303-225-4246 | |
Mrs. Stacey Renee Smith-bradfield, A/G. N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5920 Mcintyre St, Golden, CO 80403 Phone: 720-434-4876 Fax: 303-225-4246 | |
Melissa Turner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 755 Heritage Rd Ste 100, Golden, CO 80401 Phone: 303-468-7246 | |
Katherine Lynn Miller, C.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5920 Mcintyre St, Golden, CO 80403 Phone: 303-949-1250 | |
Miss Luciann Rosen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5920 Mcintyre St, Golden, CO 80403 Phone: 303-949-1250 | |
Mr. Javier Enriquez, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5920 Mcintyre St, Golden, CO 80403 Phone: 303-949-1250 | |
Krystina Eden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5920 Mcintyre St, Golden, CO 80403 Phone: 720-434-4876 |