| Glory Ekeleoseye Odigie, | |
|
157 Baltimore St Ste 100, Cumberland, MD 21502-2472 | |
| (301) 722-0484 | |
| (833) 903-0130 |
| Full Name | Glory Ekeleoseye Odigie |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 157 Baltimore St Ste 100, Cumberland, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740823434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R215670 (Maryland) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | R215670 (Maryland) | Primary |
| Entity Name | Novus Pain Management - Maryland, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720440449 PECOS PAC ID: 7416255963 Enrollment ID: O20160415001610 |
| Entity Name | Glow Kare Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902641103 PECOS PAC ID: 2264963487 Enrollment ID: O20240930000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Glory Ekeleoseye Odigie, 8011 River Gate Ln, Bowie, MD 20715-3328 Ph: (240) 704-3271 | Glory Ekeleoseye Odigie, 157 Baltimore St Ste 100, Cumberland, MD 21502-2472 Ph: (301) 722-0484 |
Lala Ann Miner, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 730 Furnace St, Cumberland, MD 21502 Phone: 301-777-5941 | |
Connie Jo Morris, MSN, CRNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 925 Bishop Walsh Rd, Cumberland, MD 21502 Phone: 301-759-3800 Fax: 301-777-7455 | |
Landry Deuboue, NURSE PRACTITIONER Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 157 Baltimore St, Cumberland, MD 21502 Phone: 240-727-3995 Fax: 833-903-0130 | |
Shannon Sprenkle, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12502 Willowbrook Rd, Suite 280, Cumberland, MD 21502 Phone: 240-964-8750 Fax: 240-964-8699 | |
Mrs. Beverly D. Tipton, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12502 Willowbrook Rd Ste 640, Cumberland, MD 21502 Phone: 240-967-8717 | |
Jacob Mullan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12502 Willowbrook Rd, Cumberland, MD 21502 Phone: 240-964-8944 Fax: 240-964-8942 | |
Ashley Nicole Chucci, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12502 Willowbrook Rd Ste 400, Cumberland, MD 21502 Phone: 240-964-8910 Fax: 240-964-8911 |