| Ekan J Ekong, CNP | |
|
157 Grass Lake Pl Apt 104, Shoreview, MN 55126-2048 | |
| (176) 349-8444 | |
| Not Available |
| Full Name | Ekan J Ekong |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 157 Grass Lake Pl Apt 104, Shoreview, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770239758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 9016 (Minnesota) | Primary |
| Entity Name | Plymouth Psych Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003195942 PECOS PAC ID: 6800103490 Enrollment ID: O20150915000728 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20230310000874 |
| Mailing Address | Practice Location Address |
|---|---|
| Ekan J Ekong, CNP 157 Grass Lake Pl Apt 104, Shoreview, MN 55126-2048 Ph: (176) 349-8444 | Ekan J Ekong, CNP 157 Grass Lake Pl Apt 104, Shoreview, MN 55126-2048 Ph: (176) 349-8444 |
Lauren Brodzinski, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 Highway 96 W Ste 200, Shoreview, MN 55126 Phone: 860-644-4241 | |
Temitope Abiola Dawodu, DNP, FNP, PMHNP- BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4570 Churchill St Ste 140, Shoreview, MN 55126 Phone: 612-517-1293 Fax: 612-349-2790 | |
Mr. Chad Joseph Parsons, C.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461 | |
Kyra Ischer, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461 Fax: 651-483-2155 | |
Kimberly Ann Hoffman, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4166 Lexington Ave N, Shoreview, MN 55126 Phone: 612-262-8890 | |
Naomi L. Berends, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461 Fax: 316-689-9769 | |
Ms. Erin Lamanna, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 Highway 96 W Ste 200, Shoreview, MN 55126 Phone: 651-374-4014 |