| Dr Odette Aneng Ngalla, | |
|
21542 Moross Rd, Detroit, MI 48236-2041 | |
| (513) 476-4691 | |
| Not Available |
| Full Name | Dr Odette Aneng Ngalla |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 21542 Moross Rd, Detroit, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194488858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704310729 (Michigan) | Primary |
| Entity Name | Children Assessment And Therapy Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336871706 PECOS PAC ID: 6204212160 Enrollment ID: O20220929001299 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Odette Aneng Ngalla, 21542 Moross Rd, Detroit, MI 48236-2041 Ph: (513) 476-4691 | Dr Odette Aneng Ngalla, 21542 Moross Rd, Detroit, MI 48236-2041 Ph: (513) 476-4691 |
Catherine Ann Wenz, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16411 Curtis St, Detroit, MI 48235 Phone: 313-838-6822 | |
Mikayla Spica, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Amber Marroquin, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 | |
Michelle M Wojek, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 Phone: 888-731-8994 | |
Tiwanna Jeaninne Williams, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 Broadstreet Ave, Detroit, MI 48204 Phone: 313-824-1000 | |
Mrs. Ines Hurley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3950 Beaubien St, Detroit, MI 48201 Phone: 313-745-5437 | |
Nicole Woznicki, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3901 Chrysler Dr, Detroit, MI 48201 Phone: 313-966-7601 |