Vivian Ngongang Ogunyemi, | |
3875 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 | |
(651) 313-8080 | |
Not Available |
Full Name | Vivian Ngongang Ogunyemi |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3875 Coon Rapids Blvd Nw, Coon Rapids, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528450608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 6887 (Minnesota) | Primary |
Entity Name | Ellie Family Services Pllp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740664150 PECOS PAC ID: 8325309669 Enrollment ID: O20180228001972 |
Mailing Address | Practice Location Address |
---|---|
Vivian Ngongang Ogunyemi, 3875 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 Ph: (651) 313-8080 | Vivian Ngongang Ogunyemi, 3875 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 Ph: (651) 313-8080 |
Kamrie Ann Parrott, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11850 Blackfoot St Nw, Ste 130, Coon Rapids, MN 55433 Phone: 763-236-2045 | |
Dr. Diane Elizabeth Beary, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 | |
Dr. Judith Onduso, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 Fax: 763-236-8410 | |
Rachel Margaret Bethke, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4040 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-427-9980 | |
Miranda K Lutterman, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433 Phone: 763-767-3350 | |
Joanne M Hynes, RN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 | |
Suzanne L Schinzel, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11475 Robinson Dr Nw, Coon Rapids, MN 55433 Phone: 763-712-6000 Fax: 763-754-4614 |