Stefany Irasema O'connell, | |
480 Central Ave Bldg 1750, Jbphh, HI 96860-4908 | |
(888) 683-2778 | |
Not Available |
Full Name | Stefany Irasema O'connell |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 480 Central Ave Bldg 1750, Jbphh, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386378479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95013251 (California) | Primary |
Entity Name | Imperial Beach Community Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790718351 PECOS PAC ID: 6709867880 Enrollment ID: O20040525001394 |
Mailing Address | Practice Location Address |
---|---|
Stefany Irasema O'connell, 949 Palm Ave, Imperial Beach, CA 91932-1503 Ph: (619) 429-3733 | Stefany Irasema O'connell, 480 Central Ave Bldg 1750, Jbphh, HI 96860-4908 Ph: (888) 683-2778 |
Mrs. Karen D Carroll, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 755 Scott Cir, Jbphh, HI 96853 Phone: 808-448-6104 Fax: 808-448-6355 | |
Mrs. Salee Jane Oboza, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 480 Central Ave, Jbphh, HI 96860 Phone: 808-474-4242 | |
Caroline Yong Glover, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 755 Scott Cir, Jbphh, HI 96853 Phone: 808-448-6000 | |
Traci L. Brooks, RN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 480 Central Ave, Family Practice Clinic, Jbphh, HI 96860 Phone: 808-257-3365 | |
Rachel E Hodge, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 755 Scott Cir, Jbphh, HI 96853 Phone: 808-448-6291 | |
Mr. Timothy Peter Brender, PPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 480 Central Ave Bldg 1750, Jbphh, HI 96860 Phone: 808-471-5171 |