| Philomina Ebere Obah, NURSE PRACTITIONER | |
|
275 W 200 N Ste 7, Kaysville, UT 84037-1873 | |
| (801) 546-1300 | |
| (801) 546-1301 |
| Full Name | Philomina Ebere Obah |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 275 W 200 N Ste 7, Kaysville, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326735812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 90455463102 (Utah) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 9045546-4405 (Utah) | Primary |
| Entity Name | Life Spring Pain Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699115188 PECOS PAC ID: 2567697931 Enrollment ID: O20131023002412 |
| Mailing Address | Practice Location Address |
|---|---|
| Philomina Ebere Obah, NURSE PRACTITIONER 149 Eastfork Cir, Farmington, UT 84025-2672 Ph: (801) 641-3691 | Philomina Ebere Obah, NURSE PRACTITIONER 275 W 200 N Ste 7, Kaysville, UT 84037-1873 Ph: (801) 546-1300 |
Blake Henry Miles, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 977 S Via La Costa Way, Kaysville, UT 84037 Phone: 801-589-6988 | |
Natalie E Royster-jensen, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 498 N Kays Dr Ste 200, Kaysville, UT 84037 Phone: 385-382-1555 | |
Nicole Stapley, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 380 N 400 W, Kaysville, UT 84037 Phone: 801-773-4840 Fax: 801-525-8151 | |
Nicholas George Jarvis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 375 N Main St Ste 103, Kaysville, UT 84037 Phone: 801-876-3749 | |
Cheryl Ann Wentworth, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 498 N 900 W, Kaysville, UT 84037 Phone: 385-382-1555 | |
Dr. Annelyse Nita Caffrey, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 375 N Main St Ste 103, Kaysville, UT 84037 Phone: 801-876-3749 | |
Baxter Stewart, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1072 N Kingswood Rd, Kaysville, UT 84037 Phone: 385-245-3493 |