| Masimba L Mutema, NP | |
|
605 Wharton Rd, Mount Laurel, NJ 08054-5265 | |
| (609) 531-1937 | |
| Not Available |
| Full Name | Masimba L Mutema |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 605 Wharton Rd, Mount Laurel, 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 |
|---|---|---|---|
| 1447824925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 26NJ01125400 (New Jersey) | Primary |
| Entity Name | Professional Service Fund Of Deborah Heart & Lung Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407803596 PECOS PAC ID: 4284537499 Enrollment ID: O20040127000717 |
| Mailing Address | Practice Location Address |
|---|---|
| Masimba L Mutema, NP 605 Wharton Rd, Mount Laurel, NJ 08054-5265 Ph: (609) 531-1937 | Masimba L Mutema, NP 605 Wharton Rd, Mount Laurel, NJ 08054-5265 Ph: (609) 531-1937 |
Mrs. Dianna M Shinkarow, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Century Pkwy Ste 140, Mount Laurel, NJ 08054 Phone: 856-380-2400 Fax: 856-234-7870 | |
Ms. Erin Lynn Mccormick, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Fellowship Rd, Mount Laurel, NJ 08054 Phone: 856-642-2133 | |
Mrs. Tieshau Middlebrooks, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 S Church St Ste 20, Mount Laurel, NJ 08054 Phone: 609-937-3491 Fax: 609-853-0221 | |
Megan Canavan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3201 Marne Hwy, Mount Laurel, NJ 08054 Phone: 856-235-2147 | |
Stephanie Ann Rogers, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054 Phone: 609-712-0796 | |
Jacqueline Burns, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3111 Route 38 Ste 11, Pmb 120, Mount Laurel, NJ 08054 Phone: 609-261-5755 Fax: 609-261-7199 | |
Tracie Hawkins, MSN, APN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3906 Church Rd, Mount Laurel, NJ 08054 Phone: 856-266-5260 |