| Daud Biola Koleosho, | |
|
1840 E Baseline Rd Ste A1, Tempe, AZ 85283-1527 | |
| (480) 718-5400 | |
| (877) 666-4624 |
| Full Name | Daud Biola Koleosho |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 1840 E Baseline Rd Ste A1, Tempe, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962093781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 253415 (Arizona) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 253415 (Arizona) | Primary |
| Entity Name | Integrated Healthcare Mobile Solutions, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255749982 PECOS PAC ID: 6406076504 Enrollment ID: O20141010002190 |
| Entity Name | Bethel Hills Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578104154 PECOS PAC ID: 3173951670 Enrollment ID: O20200316002710 |
| Entity Name | Kays Family Healthcare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073184404 PECOS PAC ID: 3274936208 Enrollment ID: O20210728000674 |
| Entity Name | Desert Tranquility Behavioral Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063084796 PECOS PAC ID: 1355745852 Enrollment ID: O20210805001311 |
| Entity Name | Grace Family Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902661457 PECOS PAC ID: 9032558366 Enrollment ID: O20240418002713 |
| Entity Name | Grande Integrated Wellness Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992577555 PECOS PAC ID: 4183065584 Enrollment ID: O20240516001967 |
| Mailing Address | Practice Location Address |
|---|---|
| Daud Biola Koleosho, Po Box 308, Queen Creek, AZ 85142-1806 Ph: (480) 718-5400 | Daud Biola Koleosho, 1840 E Baseline Rd Ste A1, Tempe, AZ 85283-1527 Ph: (480) 718-5400 |
Mr. Christopher Ian Earle, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1835 E 6th St, Ste 21, Tempe, AZ 85281 Phone: 480-581-6981 | |
Joan Marie Cobb, MSN, APN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2163 E Baseline Rd Ste 101, Tempe, AZ 85283 Phone: 480-646-8123 Fax: 480-646-8125 | |
Rachelly De La Cruz, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1642 S Priest Dr Bldg 6, Tempe, AZ 85281 Phone: 602-685-6000 | |
Mrs. Eva Yihui Wang, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 451 E University Dr, Tempe, AZ 85281 Phone: 480-965-3349 Fax: 490-965-9555 | |
Alayna M Despain, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2033 E Warner Rd, Suite 109, Tempe, AZ 85284 Phone: 480-820-5525 Fax: 480-831-6755 | |
Mrs. Jennifer Lindsey Atwood Green, RN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 618 S Madison Dr, Tempe, AZ 85281 Phone: 480-784-1514 | |
Molly Ament, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1840 E Broadway Rd, Tempe, AZ 85282 Phone: 602-323-3472 |