| Ednah Kwamboka Makori, NP | |
|
756 Pipestone St # 2, Benton Harbor, MI 49022-4845 | |
| (269) 926-8535 | |
| Not Available |
| Full Name | Ednah Kwamboka Makori |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 756 Pipestone St # 2, Benton Harbor, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013687946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704258890 (Michigan) | Primary |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
| Entity Name | Ibekie Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255870655 PECOS PAC ID: 9335424290 Enrollment ID: O20210210000770 |
| Mailing Address | Practice Location Address |
|---|---|
| Ednah Kwamboka Makori, NP 332 E Napier Ave, Benton Harbor, MI 49022-7336 Ph: (269) 308-2925 | Ednah Kwamboka Makori, NP 756 Pipestone St # 2, Benton Harbor, MI 49022-4845 Ph: (269) 926-8535 |
Mrs. Cynthia Carol Small, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 190 W Empire Ave # 1, Benton Harbor, MI 49022 Phone: 269-926-8535 Fax: 269-926-8528 | |
Brianna Christine Medlin, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 M 139, Benton Harbor, MI 49022 Phone: 855-869-6900 | |
Dr. Michella Bethea-jones, DNP, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1351 E Napier Ave, Benton Harbor, MI 49022 Phone: 269-934-5117 | |
Christina Cabuena Oldham, PMH-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1485 M 139, Benton Harbor, MI 49022 Phone: 269-925-0585 Fax: 269-927-1326 | |
Jenny Lynn Parker, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 M 139, Benton Harbor, MI 49022 Phone: 855-869-6900 Fax: 269-934-9146 | |
Ollie Gene Lee, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 733 Lavette Ave, Benton Harbor, MI 49022 Phone: 126-948-7149 |