Sussan C Nwogwugwu, PMHNP-BC | |
29101 Hospital Rd, Lake Arrowhead, CA 92352-9706 | |
(909) 436-3235 | |
Not Available |
Full Name | Sussan C Nwogwugwu |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 29101 Hospital Rd, Lake Arrowhead, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1912560954 | NPI | - | NPPES |
Entity Name | Emerald Behavioral Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780348318 PECOS PAC ID: 5799174330 Enrollment ID: O20211119001025 |
Mailing Address | Practice Location Address |
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Sussan C Nwogwugwu, PMHNP-BC 7809 Salton Ln, Arlington, TX 76001-5901 Ph: (213) 984-8478 | Sussan C Nwogwugwu, PMHNP-BC 29101 Hospital Rd, Lake Arrowhead, CA 92352-9706 Ph: (909) 436-3235 |
Ms. Frances Lodge Davis, NPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27718 West Shore, Lake Arrowhead, CA 92352 Phone: 909-337-6648 | |
Katherine Victoria Herzog, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28200 Highway 189 Ste 2-220, Lake Arrowhead, CA 92352 Phone: 714-398-5246 | |
Kim Susan Walker, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27397 North Bay Road, Lake Arrowhead, CA 92352 Phone: 909-744-7591 | |
Ms. Mary Edith Galvin, RNC FNP PHD Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29011 Hospital Rd, Ste 200, Lake Arrowhead, CA 92352 Phone: 909-336-9715 Fax: 909-336-5751 |