| Angela O'donnell, CNM, APRN | |
|
9897 W Mcdowell Rd Ste 320, Tolleson, AZ 85353-1625 | |
| (480) 814-1910 | |
| Not Available |
| Full Name | Angela O'donnell |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 9897 W Mcdowell Rd Ste 320, Tolleson, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104544659 | NPI | - | NPPES |
| 019300 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 281678 (Arizona) | Primary |
| Entity Name | Momdoc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184780355 PECOS PAC ID: 3375534282 Enrollment ID: O20040520000050 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela O'donnell, CNM, APRN Po Box 6730, Chandler, AZ 85246-6730 Ph: (480) 821-3600 | Angela O'donnell, CNM, APRN 9897 W Mcdowell Rd Ste 320, Tolleson, AZ 85353-1625 Ph: (480) 814-1910 |
Wendy Lotegeluaki, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 9897 W Mcdowell Rd Ste 320, Tolleson, AZ 85353 Phone: 480-821-3600 | |
Ms. Robin Kay Sharples-ray, LM, CPM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 9897 W Mcdowell Rd Ste 320, Tolleson, AZ 85353 Phone: 480-821-3600 Fax: 480-857-2667 |