Mrs Naomi Ebere Tiku, | |
2423 Williams Dr Ste 108, Georgetown, TX 78628-3269 | |
(877) 800-5722 | |
Not Available |
Full Name | Mrs Naomi Ebere Tiku |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2423 Williams Dr Ste 108, Georgetown, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396929857 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN207731 (Georgia) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP130634 (Texas) | Primary |
Entity Name | Austin Travis County Mental Health And Mental Retardation Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750337259 PECOS PAC ID: 9133016306 Enrollment ID: O20040305000036 |
Mailing Address | Practice Location Address |
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Mrs Naomi Ebere Tiku, 205 E University Ave Ste 200, Georgetown, TX 78626-6821 Ph: (512) 994-1933 | Mrs Naomi Ebere Tiku, 2423 Williams Dr Ste 108, Georgetown, TX 78628-3269 Ph: (877) 800-5722 |
Pamela Palmer, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1507 Rivery Blvd, Georgetown, TX 78628 Phone: 512-509-9550 | |
Allison Mcelroy, APRN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4426 Williams Dr, Georgetown, TX 78628 Phone: 866-389-2727 | |
Michelle Howard, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Central Texas Pain Center, 3201 South Austin Avenue Suite 265, Georgetown, TX 78628 Phone: 855-876-7246 Fax: 855-277-5070 | |
Charlotte A Barr, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 359 Village Commons Blvd, Georgetown, TX 78633 Phone: 512-819-9500 | |
Modesta Obiageli Onyia, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 E University Ave, Suite 157, Georgetown, TX 78626 Phone: 512-868-9078 Fax: 512-819-0646 | |
Alexandra Knudson Bleasdell, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 359 Village Commons Blvd, Georgetown, TX 78633 Phone: 512-819-9500 | |
Dinorah Martinez-anderson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 E University Ave, Southwestern University Health Services, Georgetown, TX 78626 Phone: 512-863-1252 Fax: 512-863-1814 |