| Mrs Edna Agbonyinma Akora-mofunanya, NP | |
|
30381 Chieftain Dr, Logan, OH 43138-9092 | |
| (740) 385-2555 | |
| (740) 773-4032 |
| Full Name | Mrs Edna Agbonyinma Akora-mofunanya |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 30381 Chieftain Dr, Logan, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780354605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0029695 (Ohio) | Primary |
| Entity Name | Incare Health Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235422403 PECOS PAC ID: 5092980730 Enrollment ID: O20111208000530 |
| Entity Name | Mount Carmel Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528662491 PECOS PAC ID: 4688087497 Enrollment ID: O20210114002362 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Edna Agbonyinma Akora-mofunanya, NP Po Box 188, Chillicothe, OH 45601-0188 Ph: (740) 773-4366 | Mrs Edna Agbonyinma Akora-mofunanya, NP 30381 Chieftain Dr, Logan, OH 43138-9092 Ph: (740) 385-2555 |
Mrs. Amy L Black, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30381 Chieftain Dr, Logan, OH 43138 Phone: 740-385-2555 Fax: 740-380-3750 | |
Holly Christine Smith, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 | |
Amanda Downs Davis, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1383 W Hunter St, Logan, OH 43138 Phone: 740-385-0202 Fax: 740-380-2734 | |
Kaitlin E. Angle, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 | |
Brett Wilson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 541 State Route 664 N, Suite C, Logan, OH 43138 Phone: 740-385-6594 Fax: 740-380-0852 | |
Patrick Howe, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 541 Sr 664 N Suite C, Logan, OH 43138 Phone: 740-385-6594 Fax: 740-774-6617 | |
Bethany Ann Jagers, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30381 Chieftain Dr, Logan, OH 43138 Phone: 740-385-2555 Fax: 740-380-3730 |