Ibukunoluwa Awoyale, | |
208 Brighton Ct, Sicklerville, NJ 08081-2407 | |
(856) 254-0284 | |
Not Available |
Full Name | Ibukunoluwa Awoyale |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 208 Brighton Ct, Sicklerville, 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 |
---|---|---|---|
1922729318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 26NJ01176700 (New Jersey) | Primary |
Entity Name | State Of New Jersey Omb Centralized Payroll |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629155502 PECOS PAC ID: 6406742592 Enrollment ID: O20040225000797 |
Mailing Address | Practice Location Address |
---|---|
Ibukunoluwa Awoyale, 208 Brighton Ct, Sicklerville, NJ 08081-2407 Ph: (856) 254-0284 | Ibukunoluwa Awoyale, 208 Brighton Ct, Sicklerville, NJ 08081-2407 Ph: (856) 254-0284 |
Mrs. Chevon Alease Neal-mink, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Berlin Cross Keys Rd, Sicklerville, NJ 08081 Phone: 856-536-1536 | |
Candace Atkins, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 57 Eastmont Ln, Sicklerville, NJ 08081 Phone: 856-262-4455 | |
Rafia Nicola Grooms, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 521 Sicklerville Rd # Unite3, Sicklerville, NJ 08081 Phone: 856-965-1000 Fax: 856-965-1001 | |
Mrs. Elaine Gail Lange, R.N, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 485 Williamstown Rd, Sicklerville, NJ 08081 Phone: 856-227-6575 Fax: 856-237-8042 | |
Christina Eadicicco, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1108 Elena Ct, Sicklerville, NJ 08081 Phone: 856-278-9539 | |
Mrs. Lucille Anne Miller, RN, MSN, APN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Liberty Pl Unit 2, Sicklerville, NJ 08081 Phone: 856-318-7537 Fax: 856-516-4494 | |
Sherie Loteretiz Reed, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 182 Annie Way, Sicklerville, NJ 08081 Phone: 856-434-9285 |