Miss Adaobi Ezinne, Laura Adibe, MSN, FNP | |
350 S 40th St, Muskogee, OK 74401 | |
(918) 683-0753 | |
(866) 397-7556 |
Full Name | Miss Adaobi Ezinne, Laura Adibe |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 350 S 40th St, Muskogee, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558746651 | NPI | - | NPPES |
200627980A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 119620 (Oklahoma) | Primary |
Entity Name | West Houston Medical Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922383959 PECOS PAC ID: 0547419962 Enrollment ID: O20120928000517 |
Mailing Address | Practice Location Address |
---|---|
Miss Adaobi Ezinne, Laura Adibe, MSN, FNP 350 S 40th St, Muskogee, OK 74401-4915 Ph: (918) 683-0753 | Miss Adaobi Ezinne, Laura Adibe, MSN, FNP 350 S 40th St, Muskogee, OK 74401 Ph: (918) 683-0753 |
Elizabeth Walrath, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Chandler Rd Ste 107, Muskogee, OK 74403 Phone: 918-948-6360 | |
Ifeoma Nneka Mozie, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 S 40th St, Muskogee, OK 74401 Phone: 918-683-0753 Fax: 918-683-5677 | |
Sasha Lounmala, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 Honor Heights Dr # 118, Muskogee, OK 74401 Phone: 918-348-2236 | |
Mrs. Alef Nancy Graham, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 Honor Heights Dr, Muskogee, OK 74401 Phone: 918-683-3261 | |
Kendra Diane Round, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 S 32nd St, Muskogee, OK 74401 Phone: 539-239-5240 Fax: 539-239-5249 | |
Mrs. Lanise Jamerson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 Honor Heights Dr, Muskogee, OK 74401 Phone: 918-577-3000 | |
Richard Parks, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4318 W Okmulgee St, Muskogee, OK 74401 Phone: 918-686-0471 Fax: 918-686-9471 |