Ezioma C Onwukanjo, | |
215 Hunter Creek Dr, York, PA 17406-6022 | |
(717) 793-6240 | |
Not Available |
Full Name | Ezioma C Onwukanjo |
---|---|
Gender | Female |
Speciality | Registered Nurse - Psychiatric/mental Health |
Location | 215 Hunter Creek Dr, York, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902375116 | NPI | - | NPPES |
SP19612 | Other | PA | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0808X | Registered Nurse - Psychiatric/mental Health | SP19612 (Pennsylvania) | Primary |
Entity Name | Pennsylvania Department Of Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457334336 PECOS PAC ID: 0547168064 Enrollment ID: O20040116001002 |
Entity Name | T.w. Ponessa & Associates Counseling Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053341859 PECOS PAC ID: 7810991924 Enrollment ID: O20071004000024 |
Mailing Address | Practice Location Address |
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Ezioma C Onwukanjo, 215 Hunter Creek Dr, York, PA 17406-6022 Ph: (717) 793-6240 | Ezioma C Onwukanjo, 215 Hunter Creek Dr, York, PA 17406-6022 Ph: (717) 793-6240 |
Quan Lu, Registered Nurse Medicare: Medicare Enrolled Practice Location: 1701 Innovation Dr, York, PA 17408 Phone: 717-843-8623 | |
Samantha Smith, CRNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3400 Concord Rd, York, PA 17402 Phone: 717-840-7580 | |
Tanya Marie Barr, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 116 S George St, York, PA 17401 Phone: 717-845-8617 | |
Mrs. Carol A Henderson, M.S.N., C.R.N.P. Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1777 5th Ave, York, PA 17403 Phone: 717-843-8051 Fax: 717-848-2578 | |
Patricia A Mueller, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1101 Edgar St, Suite A, York, PA 17403 Phone: 717-851-1500 Fax: 717-851-1515 | |
Mrs. Christine Stipanovic, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 375 Stonewood Rd, York, PA 17402 Phone: 717-495-0070 | |
Bartosz Kawalec, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1001 S George St, York, PA 17403 Phone: 717-812-7687 |