Henrietta Bannerman, | |
339 Jeffries St, Perth Amboy, NJ 08861-3213 | |
(347) 575-0327 | |
Not Available |
Full Name | Henrietta Bannerman |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 339 Jeffries St, Perth Amboy, 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 |
---|---|---|---|
1477974095 | NPI | - | NPPES |
Entity Name | Rivia Medical Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134644032 PECOS PAC ID: 4880009943 Enrollment ID: O20210223001589 |
Mailing Address | Practice Location Address |
---|---|
Henrietta Bannerman, Po Box 41148, Staten Island, NY 10304-7148 Ph: (347) 575-0327 | Henrietta Bannerman, 339 Jeffries St, Perth Amboy, NJ 08861-3213 Ph: (347) 575-0327 |
Tylene Williams, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 275 Hobart St, Perth Amboy, NJ 08861 Phone: 732-376-9333 | |
Dr. Ebere Aniegbuna, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 97 Dally Ct, Perth Amboy, NJ 08861 Phone: 908-531-5389 | |
Chinedu Nwadike, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 187 Fayette St, Perth Amboy, NJ 08861 Phone: 732-410-7102 | |
Miss Sandra Nagy, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 466 New Brunswick Ave, Perth Amboy, NJ 08861 Phone: 732-324-3300 | |
Prema Ramashwar, APN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 New Brunswick Ave, Perth Amboy, NJ 08861 Phone: 732-324-5095 | |
Nataliya Yuriy Titov, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 530 New Brunswick Ave, Perth Amboy, NJ 08861 Phone: 848-565-8192 | |
Evelyn Javier, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 275 Hobart St, Perth Amboy, NJ 08861 Phone: 732-376-9333 Fax: 732-324-5765 |