| Aims, Llc | |
|
417 S Whitlock St Bremen IN 46506-1626 | |
| (574) 546-0330 | |
| (574) 747-8650 |
| Full Name | Aims, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 417 S Whitlock St, Bremen, Indiana |
| Authorized Official Name and Position | Kashif A. Janjua (PRESIDENT & CEO) |
| Authorized Official Contact | 4437399997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aims, Llc 111 E 3rd St Unit 764 Mishawaka IN 46546-4038 Ph: (574) 208-9007 | Aims, Llc 417 S Whitlock St Bremen IN 46506-1626 Ph: (574) 546-0330 |
| NPI Number | 1376072785 |
|---|---|
| Provider Enumeration Date | 06/08/2017 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Medicare PECOS PAC ID | 6406126572 |
|---|---|
| Medicare Enrollment ID | O20170721002478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376072785 | NPI | - | NPPES |
| Provider Name | Husam A Baki |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1316129695 PECOS PAC ID: 3678464989 Enrollment ID: I20040324000428 |
| Provider Name | Philip Creps |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649284688 PECOS PAC ID: 8820084544 Enrollment ID: I20040420001471 |
| Provider Name | Cheryl V Facey-graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730377623 PECOS PAC ID: 0941285365 Enrollment ID: I20040621001053 |
| Provider Name | Edduyn Ariel Figueroa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265462410 PECOS PAC ID: 0840264545 Enrollment ID: I20040819001099 |
| Provider Name | Lisa Darlene Stults |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033181599 PECOS PAC ID: 4880628486 Enrollment ID: I20050922001140 |
| Provider Name | Mario M Robbins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538151717 PECOS PAC ID: 0143320945 Enrollment ID: I20070710000075 |
| Provider Name | Richard Payne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710104088 PECOS PAC ID: 6507956596 Enrollment ID: I20071213000786 |
| Provider Name | Geoffrey O Onyeukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093724007 PECOS PAC ID: 3375610025 Enrollment ID: I20080922000329 |
| Provider Name | Abdulateef O Aregbe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972756245 PECOS PAC ID: 1254482763 Enrollment ID: I20090623000685 |
| Provider Name | Olufunke L Brimmo-longe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568418176 PECOS PAC ID: 4183686413 Enrollment ID: I20091005000071 |
| Provider Name | Michelle K Boswell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649404948 PECOS PAC ID: 2163569047 Enrollment ID: I20091026000488 |
| Provider Name | Mallikarju N Patta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164499554 PECOS PAC ID: 2365472313 Enrollment ID: I20091210000122 |
| Provider Name | Lynnea Carder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639214455 PECOS PAC ID: 7719083179 Enrollment ID: I20100213000017 |
| Provider Name | John A Israel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457429722 PECOS PAC ID: 1658401104 Enrollment ID: I20100610000551 |
| Provider Name | Olaniyi Osuntokun |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548375058 PECOS PAC ID: 9739362633 Enrollment ID: I20110331000119 |
| Provider Name | Renee E Buskirk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619275807 PECOS PAC ID: 3577747260 Enrollment ID: I20110404000739 |
| Provider Name | Kawanya E Muhammad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043592694 PECOS PAC ID: 9133391170 Enrollment ID: I20111017000388 |
| Provider Name | Elizabeth Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275885527 PECOS PAC ID: 9931347051 Enrollment ID: I20130531000534 |
| Provider Name | Adeshola W Afolabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689982803 PECOS PAC ID: 5193968584 Enrollment ID: I20130904000673 |
| Provider Name | India L Samuels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407283294 PECOS PAC ID: 9537397187 Enrollment ID: I20140106001391 |
| Provider Name | Paul N Kuria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710210521 PECOS PAC ID: 0941485999 Enrollment ID: I20140610002418 |
| Provider Name | Deetta K Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144664665 PECOS PAC ID: 1850514621 Enrollment ID: I20140729001668 |
| Provider Name | Lensa G Girsha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013242080 PECOS PAC ID: 6204058647 Enrollment ID: I20141119001367 |
| Provider Name | Vinicius Teixeira |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841516119 PECOS PAC ID: 0143442541 Enrollment ID: I20141120000652 |
| Provider Name | Joseph Moto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689072209 PECOS PAC ID: 5092030619 Enrollment ID: I20150202001817 |
| Provider Name | Kimberly Anne Artman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710229398 PECOS PAC ID: 8426373226 Enrollment ID: I20150219002168 |
| Provider Name | Kashif A Janjua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558522730 PECOS PAC ID: 5597938282 Enrollment ID: I20150316002377 |
| Provider Name | Melissa Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780079004 PECOS PAC ID: 3971823055 Enrollment ID: I20150514000277 |
| Provider Name | Noadiah Malott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962740365 PECOS PAC ID: 2163739160 Enrollment ID: I20150923000311 |
| Provider Name | Tara Pousson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265810584 PECOS PAC ID: 6406166537 Enrollment ID: I20151102002296 |
| Provider Name | Linda Omalley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780748913 PECOS PAC ID: 5698078426 Enrollment ID: I20160128000118 |
| Provider Name | Azubike Nwokedi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336507094 PECOS PAC ID: 8729383583 Enrollment ID: I20160217000173 |
| Provider Name | Faye E Rupert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396081063 PECOS PAC ID: 2365740149 Enrollment ID: I20160411002323 |
| Provider Name | Tara L Stanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194175554 PECOS PAC ID: 7810288560 Enrollment ID: I20160628000223 |
| Provider Name | Maria Gootee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710330899 PECOS PAC ID: 1052605961 Enrollment ID: I20160815002281 |
| Provider Name | Marian K Ramsey Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326579574 PECOS PAC ID: 7517243959 Enrollment ID: I20170419000679 |
| Provider Name | Tammy J Gaska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679014021 PECOS PAC ID: 6002187390 Enrollment ID: I20170804000833 |
| Provider Name | Rosaline Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790297463 PECOS PAC ID: 5991062515 Enrollment ID: I20171206001048 |
| Provider Name | Tammie R Maiden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265632566 PECOS PAC ID: 4688960339 Enrollment ID: I20171218003208 |
| Provider Name | Denford Mujeye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326566142 PECOS PAC ID: 4688937352 Enrollment ID: I20180410002537 |
| Provider Name | Ayodeji I Ogunleye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629485107 PECOS PAC ID: 0345504767 Enrollment ID: I20180510000470 |
| Provider Name | Detonya Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346754835 PECOS PAC ID: 4880852391 Enrollment ID: I20180613000428 |
| Provider Name | Mary B Mammen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134615834 PECOS PAC ID: 7719234236 Enrollment ID: I20180716000633 |
| Provider Name | Paula Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033600390 PECOS PAC ID: 0749335602 Enrollment ID: I20180801002988 |
| Provider Name | Kaley Michelle Marino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376021725 PECOS PAC ID: 3779834064 Enrollment ID: I20180926000520 |
| Provider Name | Olabisi Fajana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780164053 PECOS PAC ID: 7911258231 Enrollment ID: I20180926002067 |
| Provider Name | Constance R Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104306620 PECOS PAC ID: 6002169679 Enrollment ID: I20181029001300 |
| Provider Name | Ngozi Adindu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659862266 PECOS PAC ID: 9335492933 Enrollment ID: I20181030002657 |
| Provider Name | Sarah Ann Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528542818 PECOS PAC ID: 4789938408 Enrollment ID: I20181116000098 |
| Provider Name | Jasper Mukwada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558815787 PECOS PAC ID: 4981992856 Enrollment ID: I20190109002136 |
| Provider Name | John Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316427560 PECOS PAC ID: 2062759764 Enrollment ID: I20190201001873 |
| Provider Name | Jordynn O Tibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962996314 PECOS PAC ID: 6800134388 Enrollment ID: I20190207001053 |
| Provider Name | Alana M Urness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659810877 PECOS PAC ID: 1557646064 Enrollment ID: I20190403001245 |
| Provider Name | Srikanth Dev Ravindran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417209933 PECOS PAC ID: 9638485188 Enrollment ID: I20190807000148 |
| Provider Name | Regina Lynn Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093272593 PECOS PAC ID: 5395074264 Enrollment ID: I20190903001949 |
| Provider Name | Jennifer Anne Harmon-nary |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023664406 PECOS PAC ID: 9436488293 Enrollment ID: I20190904003053 |
| Provider Name | Stephanie Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821574187 PECOS PAC ID: 9133459316 Enrollment ID: I20191001003381 |
| Provider Name | Jennifer Leigh Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861040693 PECOS PAC ID: 4385975226 Enrollment ID: I20191008002122 |
| Provider Name | Yulia Abair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265085286 PECOS PAC ID: 2365773504 Enrollment ID: I20191018002033 |
| Provider Name | Jami Lynn Cecil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669930566 PECOS PAC ID: 7315279957 Enrollment ID: I20191030003202 |
| Provider Name | Rana Magill Stoops |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134775463 PECOS PAC ID: 1951734052 Enrollment ID: I20191203003099 |
| Provider Name | Patrick Murathimi Mutugu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588205231 PECOS PAC ID: 3678907581 Enrollment ID: I20191231002502 |
| Provider Name | Stephanie Ann Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184263105 PECOS PAC ID: 3476989070 Enrollment ID: I20200130000093 |
| Provider Name | Deborah Ann Mcglasson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598021503 PECOS PAC ID: 1759710122 Enrollment ID: I20200406002206 |
| Provider Name | Yvonne Chaadulia Lindeire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184255093 PECOS PAC ID: 2769812684 Enrollment ID: I20200416002910 |
| Provider Name | Wesley David Runkle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437445046 PECOS PAC ID: 4587086574 Enrollment ID: I20200619002515 |
| Provider Name | Keva Swopes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083257695 PECOS PAC ID: 7113340084 Enrollment ID: I20200710000650 |
| Provider Name | Tanesha Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487148946 PECOS PAC ID: 9638414287 Enrollment ID: I20200721000450 |
| Provider Name | David Bryan Nolte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245860436 PECOS PAC ID: 0749607232 Enrollment ID: I20200828001607 |
| Provider Name | Magdalene Oluwamayowa Bambo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790394922 PECOS PAC ID: 8921425992 Enrollment ID: I20200908000087 |
| Provider Name | Mya Yee Nandar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710584834 PECOS PAC ID: 5092134312 Enrollment ID: I20201006000084 |
| Provider Name | Rosemary Gathungu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326650052 PECOS PAC ID: 1557772209 Enrollment ID: I20201201001958 |
| Provider Name | Adam D Dell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750623989 PECOS PAC ID: 0446571327 Enrollment ID: I20201208002360 |
| Provider Name | Juana Jones-felton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275130437 PECOS PAC ID: 1052723129 Enrollment ID: I20201214002190 |
| Provider Name | Dorothy Bodur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063019040 PECOS PAC ID: 3678986700 Enrollment ID: I20210111002171 |
| Provider Name | Sheryl Ann Vinci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710403282 PECOS PAC ID: 6507196359 Enrollment ID: I20210218001457 |
| Provider Name | Latrisha T Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891265898 PECOS PAC ID: 5193068138 Enrollment ID: I20210218001760 |
| Provider Name | Mary Galetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619586070 PECOS PAC ID: 8527474337 Enrollment ID: I20210302002716 |
| Provider Name | Kimberly Kay Dietrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497349666 PECOS PAC ID: 5395151609 Enrollment ID: I20210311001849 |
| Provider Name | Aurora Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053887620 PECOS PAC ID: 4688909914 Enrollment ID: I20210324001943 |
| Provider Name | Taletha K Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689181372 PECOS PAC ID: 0749549665 Enrollment ID: I20210329001501 |
| Provider Name | Kelly Marie Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558956755 PECOS PAC ID: 8921415449 Enrollment ID: I20210330001886 |
| Provider Name | Breanne Nicole Kowalski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669063814 PECOS PAC ID: 5799184271 Enrollment ID: I20210603002029 |
| Provider Name | Rhoda Agaji Ogar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336683028 PECOS PAC ID: 7810391844 Enrollment ID: I20210812000853 |
| Provider Name | Michael Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457932337 PECOS PAC ID: 5890194401 Enrollment ID: I20220919000980 |
| Provider Name | Vanessa Marie Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629798194 PECOS PAC ID: 1254717424 Enrollment ID: I20220927000279 |
| Provider Name | Juanita Marie Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073237202 PECOS PAC ID: 0042688764 Enrollment ID: I20221130000261 |
| Provider Name | Katherine Kuypers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942938261 PECOS PAC ID: 4486026846 Enrollment ID: I20230211000535 |
| Provider Name | Brian Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326752221 PECOS PAC ID: 3173997608 Enrollment ID: I20230323000198 |
| Provider Name | Beryl Chiboyiwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427745926 PECOS PAC ID: 6800254996 Enrollment ID: I20230622000268 |
| Provider Name | Saby Kirpal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225741838 PECOS PAC ID: 2365804184 Enrollment ID: I20230810003211 |
| Provider Name | Brian Patrick Grimley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427736362 PECOS PAC ID: 0840644969 Enrollment ID: I20230922003275 |
| Provider Name | Leah Dawn Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386325587 PECOS PAC ID: 1153541057 Enrollment ID: I20231031001413 |
| Provider Name | Lauren Alexaundra Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083468219 PECOS PAC ID: 5698114908 Enrollment ID: I20240419001055 |
| Provider Name | Cathy-ann Nikeisha Carby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568181303 PECOS PAC ID: 2365881414 Enrollment ID: I20240422002791 |
| Provider Name | Mary Gwynne Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548833098 PECOS PAC ID: 0547630048 Enrollment ID: I20240911004244 |
| Provider Name | Kristina Croddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235967720 PECOS PAC ID: 9234661851 Enrollment ID: I20241021000698 |
| Provider Name | Jennifer Andjelich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134683998 PECOS PAC ID: 0345583415 Enrollment ID: I20250129000118 |