Mrs Genevieve Obianuju Ezennia, FNP | |
350 Posada Ln Ste 102, Templeton, CA 93465-4061 | |
(805) 434-3699 | |
(805) 434-4864 |
Full Name | Mrs Genevieve Obianuju Ezennia |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 350 Posada Ln Ste 102, Templeton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801362876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95008869 (California) | Primary |
Entity Name | Downriver Mental Health Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295866135 PECOS PAC ID: 7911995139 Enrollment ID: O20040505000533 |
Mailing Address | Practice Location Address |
---|---|
Mrs Genevieve Obianuju Ezennia, FNP 350 Posada Ln Ste 102, Templeton, CA 93465-4061 Ph: (805) 434-3699 | Mrs Genevieve Obianuju Ezennia, FNP 350 Posada Ln Ste 102, Templeton, CA 93465-4061 Ph: (805) 434-3699 |
Leslie Ann Joslin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1320 Las Tablas Rd, Ste F, Templeton, CA 93465 Phone: 805-928-0610 | |
Jillian Marie Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Las Tablas Rd Ste G, Templeton, CA 93465 Phone: 805-434-2821 | |
Rebecca Mcalpin, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Las Tablas Rd Ste G, Templeton, CA 93465 Phone: 805-434-2821 Fax: 805-434-2526 | |
Virginia Latta, NP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 Posada Ln, 102, Templeton, CA 93465 Phone: 805-434-3699 Fax: 805-434-4864 | |
Mary Christine Schaff, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1111 Las Tablas Rd., Ste. M, Templeton, CA 93465 Phone: 805-434-2821 Fax: 805-434-2526 | |
Duong Tran, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 325 Posada Ln, A, Templeton, CA 93465 Phone: 805-542-6700 Fax: 805-542-6791 | |
Hanna Chariz Roewer, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 325 Posada Ln, Templeton, CA 93465 Phone: 805-542-6700 |