Ogbeyialu Inyang Nduka, | |
1202 N Brightleaf Blvd Ste C, Smithfield, NC 27577-4258 | |
(919) 912-5006 | |
Not Available |
Full Name | Ogbeyialu Inyang Nduka |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1202 N Brightleaf Blvd Ste C, Smithfield, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497450746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 248495 (North Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 5017941 (North Carolina) | Primary |
Entity Name | Mainstreet And Kidsstreet Of North Carolina Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144803040 PECOS PAC ID: 6901290238 Enrollment ID: O20220302000414 |
Mailing Address | Practice Location Address |
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Ogbeyialu Inyang Nduka, 1500 1st Ave N Unit 3, Birmingham, AL 35203-1866 Ph: () - | Ogbeyialu Inyang Nduka, 1202 N Brightleaf Blvd Ste C, Smithfield, NC 27577-4258 Ph: (919) 912-5006 |
Angela Louise Wadsworth, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 514 N Brightleaf Blvd Ste 1620, Smithfield, NC 27577 Phone: 919-938-7187 Fax: 919-938-7201 | |
Jacqueline R Costello, DNP, APRN, CPNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1519 E Booker Dairy Rd Ste B, Smithfield, NC 27577 Phone: 919-938-2144 | |
Mrs. Karen H Merritt, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Kellie Dr, Smithfield, NC 27577 Phone: 919-938-3749 Fax: 919-938-3795 | |
Angela Demetrius, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 614 E Market St, Smithfield, NC 27577 Phone: 919-975-1100 | |
Brittany Evans Jackson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 Phone: 919-989-2192 Fax: 919-934-0006 | |
Juanita Shawnta Outlaw, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 293 Bella Sq, Smithfield, NC 27577 Phone: 252-724-0192 | |
Mrs. Tara Denise Bush, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 707 Lassiter St, Smithfield, NC 27577 Phone: 919-209-9856 Fax: 919-209-9859 |