| @ Ease Psychiatry | |
|
2512 E Evergreen Blvd Vancouver WA 98661-4323 | |
| (972) 503-4109 | |
| (972) 449-0500 |
| Full Name | @ Ease Psychiatry |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2512 E Evergreen Blvd, Vancouver, Washington |
| Authorized Official Name and Position | Nwamaka Larvine Emeruem (DIRECTOR) |
| Authorized Official Contact | 9725034109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| @ Ease Psychiatry 2804 S Lakeview Dr Cedar Hill TX 75104-8233 Ph: (972) 503-4109 | @ Ease Psychiatry 2512 E Evergreen Blvd Vancouver WA 98661-4323 Ph: (972) 503-4109 |
| NPI Number | 1699312314 |
|---|---|
| Provider Enumeration Date | 12/01/2019 |
| Last Update Date | 03/22/2022 |
| Certification Date | 03/22/2022 |
| Medicare PECOS PAC ID | 0840626800 |
|---|---|
| Medicare Enrollment ID | O20200211000940 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699312314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Nwamaka Emeruem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508366642 PECOS PAC ID: 2062774813 Enrollment ID: I20180315001049 |
| Provider Name | Rachael Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386260537 PECOS PAC ID: 2062837180 Enrollment ID: I20200806002779 |
| Provider Name | Ebere Ejike-ilechukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295333268 PECOS PAC ID: 0941613244 Enrollment ID: I20210105003260 |
| Provider Name | Lilian Okere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811540339 PECOS PAC ID: 8921485012 Enrollment ID: I20220817000084 |
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