Miriam Ndenecho, | |
1001 Enclave Blvd Apt 506, Edwardsville, IL 62025-7462 | |
(618) 900-2692 | |
Not Available |
Full Name | Miriam Ndenecho |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1001 Enclave Blvd Apt 506, Edwardsville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093317679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R225189 (Maryland) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 1052250 (Texas) | Primary |
Entity Name | Noble Anesthesia Partners Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619259553 PECOS PAC ID: 9234303165 Enrollment ID: O20111110000747 |
Entity Name | El Paso Ams Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134740202 PECOS PAC ID: 9931520970 Enrollment ID: O20200601000147 |
Mailing Address | Practice Location Address |
---|---|
Miriam Ndenecho, 6972 Black Mesquite Dr, El Paso, TX 79934-2233 Ph: (618) 900-2692 | Miriam Ndenecho, 1001 Enclave Blvd Apt 506, Edwardsville, IL 62025-7462 Ph: (618) 900-2692 |
Nicole Brainin, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 29 South Cherry Hls, Edwardsville, IL 62025 Phone: 630-649-8821 | |
Diana L Schuler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7416 Creek Ridge Ln, Edwardsville, IL 62025 Phone: 618-967-4578 | |
Mrs. Lisa M Bell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Po Box 616, Edwardsville, IL 62025 Phone: 833-749-8324 Fax: 214-301-0649 | |
Frank Grasso, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1016 W High St, Edwardsville, IL 62025 Phone: 618-967-4578 |