| Anuli Okolo, | |
|
2869 Estate View Ct, Dacula, GA 30019-4017 | |
| (470) 349-5300 | |
| (470) 349-5300 |
| Full Name | Anuli Okolo |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Psychiatric/mental Health |
| Location | 2869 Estate View Ct, Dacula, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598541567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 262413 (Georgia) | Primary |
| Entity Name | Lifesource Of North Carolina |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962940817 PECOS PAC ID: 7416132428 Enrollment ID: O20170418000863 |
| Mailing Address | Practice Location Address |
|---|---|
| Anuli Okolo, 2869 Estate View Ct, Dacula, GA 30019-4017 Ph: (470) 349-5300 | Anuli Okolo, 2869 Estate View Ct, Dacula, GA 30019-4017 Ph: (470) 349-5300 |
Michelle Malvo, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 544 Mulberry Park Cir, Dacula, GA 30019 Phone: 347-891-0266 | |
Dr. Richard Ameh Onoja, DNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 3027 Jim Moore Rd, Dacula, GA 30019 Phone: 866-389-2727 | |
Mr. Rene Bran Jr., RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2668 Pathview Dr, Dacula, GA 30019 Phone: 770-899-3281 | |
Mrs. Hermance Williams, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2185 Fence Rd, Dacula, GA 30019 Phone: 770-815-6434 | |
Oslyn Forbes, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: Po Box 685, Dacula, GA 30019 Phone: 470-913-1575 | |
Mrs. Erika Victoria Salazar, RN, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2465 Dacula Ridge Dr, Dacula, GA 30019 Phone: 562-519-4438 | |
Ms. Iman Moton, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3047 Level Grove Ln, Dacula, GA 30019 Phone: 469-560-9210 |