Irene Enjema Ekobena, NP | |
464 2nd St Ste 204, Excelsior, MN 55331-2015 | |
(612) 787-8408 | |
(612) 567-8935 |
Full Name | Irene Enjema Ekobena |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 464 2nd St Ste 204, Excelsior, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255115473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 10642 (Minnesota) | Primary |
Entity Name | Rehabilitation Medicine Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093103145 PECOS PAC ID: 9335465558 Enrollment ID: O20150306000534 |
Mailing Address | Practice Location Address |
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Irene Enjema Ekobena, NP 464 2nd St Ste 204, Excelsior, MN 55331-2015 Ph: (612) 787-8408 | Irene Enjema Ekobena, NP 464 2nd St Ste 204, Excelsior, MN 55331-2015 Ph: (612) 787-8408 |
Ms. Kara M Hutton, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 675 Water St, Excelsior, MN 55331 Phone: 952-906-7855 Fax: 952-470-4523 | |
Mai Moua Vang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 470 Water St, Excelsior, MN 55331 Phone: 952-442-6950 Fax: 952-955-6276 | |
Eleanor Johnson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 515 Division St, Excelsior, MN 55331 Phone: 952-474-5488 | |
Dr. Yuven Sabastian Lukong, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 464 2nd St Ste 204, Excelsior, MN 55331 Phone: 612-787-8408 Fax: 612-567-8935 | |
Mr. Andrew Kern Rosdhal, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23505 Smithtown Rd Ste 110, Excelsior, MN 55331 Phone: 763-458-9494 | |
Kayla Lynn Parker, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23505 Smithtown Rd Ste 110, Excelsior, MN 55331 Phone: 763-458-9494 Fax: 763-647-2477 |