Olufunmilayo Kwentua, | |
14219 Calice St, Gonzales, LA 70737-5972 | |
(225) 803-7593 | |
Not Available |
Full Name | Olufunmilayo Kwentua |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 14219 Calice St, Gonzales, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669167672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 227572 (Louisiana) | Primary |
Entity Name | Victory Health Solution Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912515305 PECOS PAC ID: 7416369152 Enrollment ID: O20210413000569 |
Entity Name | Grand Canyon Behavior Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598460511 PECOS PAC ID: 1850747387 Enrollment ID: O20231019002431 |
Entity Name | Lumel Mental Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285312355 PECOS PAC ID: 9436593472 Enrollment ID: O20240219001286 |
Mailing Address | Practice Location Address |
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Olufunmilayo Kwentua, 14219 Calice St, Gonzales, LA 70737-5972 Ph: () - | Olufunmilayo Kwentua, 14219 Calice St, Gonzales, LA 70737-5972 Ph: (225) 803-7593 |
Carol B Craig, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1104 W Highway 30, Gonzales, LA 70737 Phone: 225-644-2100 Fax: 225-644-5213 | |
Jennifer Jennings Gibson, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2524 S Philippe Ave, Gonzales, LA 70737 Phone: 225-644-1990 | |
Megan Louque Stamps, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 S Purpera Ave Ste 601, Gonzales, LA 70737 Phone: 504-465-4550 Fax: 833-222-4520 | |
Racine Dominique Jackson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 W Orice Roth Rd Apt 1510, Gonzales, LA 70737 Phone: 225-348-3997 | |
Thu Anh Nguyen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42568 Cedar Park Ave, Gonzales, LA 70737 Phone: 504-520-0373 | |
Angelle Williams, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2524 S Philippe Ave, Gonzales, LA 70737 Phone: 225-644-1990 Fax: 225-644-3264 | |
Maretta Daniel, MSN ,APN NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14601 Airline Hwy Ste 103, Gonzales, LA 70737 Phone: 225-236-5970 |