| Anthonia Duru, NP | |
|
1030 S Carrier Pkwy Ste 100, Grand Prairie, TX 75051-1527 | |
| (469) 373-2260 | |
| Not Available |
| Full Name | Anthonia Duru |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1030 S Carrier Pkwy Ste 100, Grand Prairie, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669096905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | AP146144 (Texas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP146144 (Texas) | Primary |
| Entity Name | Peculiar Wellness Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306542865 PECOS PAC ID: 2264880459 Enrollment ID: O20231129000341 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthonia Duru, NP 1030 S Carrier Pkwy Ste 100, Grand Prairie, TX 75051-1527 Ph: (469) 373-2260 | Anthonia Duru, NP 1030 S Carrier Pkwy Ste 100, Grand Prairie, TX 75051-1527 Ph: (469) 373-2260 |
Amber Mullins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4203 S Carrier Pkwy, Grand Prairie, TX 75052 Phone: 972-642-3190 | |
Mrs. Elsie Manuel, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2740 N Hwy 360, Grand Prairie, TX 75050 Phone: 972-606-8300 Fax: 972-606-8597 | |
Joy Ogbimi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2922 Pegasus Ct, Grand Prairie, TX 75052 Phone: 214-809-0542 | |
Macia Uche Micheal, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2835 Mariposa Dr, Grand Prairie, TX 75054 Phone: 972-400-3900 Fax: 469-224-9190 | |
Akhere Isenalumhe, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3012 Fairview Dr, Grand Prairie, TX 75052 Phone: 972-533-5136 | |
Mrs. Susan Renee Carlson, MSN, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2740 N Hwy 360, Suite 100, Grand Prairie, TX 75050 Phone: 972-606-8300 Fax: 972-606-4940 | |
Michael Owusu Agyemang, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2520 W I 20, Grand Prairie, TX 75052 Phone: 972-264-5858 Fax: 972-264-8800 |