| Jennifer A Omeal, AGACNP-BC | |
|
13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | |
| (623) 882-1500 | |
| Not Available |
| Full Name | Jennifer A Omeal |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 13677 W Mcdowell Rd, Goodyear, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518700301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 309079 (Arizona) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 309079 (Arizona) | Primary |
| Entity Name | Banner Hospital Based Physicians Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer A Omeal, AGACNP-BC 18623 W Sunnyslope Ln, Waddell, AZ 85355-4415 Ph: (623) 326-8923 | Jennifer A Omeal, AGACNP-BC 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 Ph: (623) 882-1500 |
Benilde Mwiseneza, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13555 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-295-1190 | |
Mrs. Kathryn Leigh Martinez, ACNPC-AG Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13555 W Mcdowell Rd Ste 203, Goodyear, AZ 85395 Phone: 623-512-4390 | |
Miss Natisha Lynn Zevnick, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13555 W Mcdowell Rd Ste 302, Goodyear, AZ 85395 Phone: 623-512-4390 | |
Hussein Haidar, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13555 W Mcdowell Rd Ste 205, Goodyear, AZ 85395 Phone: 623-295-1190 | |
Amanda Jo Frary, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13555 W Mcdowell Rd Ste 302, Goodyear, AZ 85395 Phone: 623-404-3046 | |
Shannon Torrez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16751 W Shiloh Ave, Goodyear, AZ 85338 Phone: 480-372-7703 | |
Ana Maria Fuentes, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14415 W Mcdowell Rd Ste D102, Goodyear, AZ 85395 Phone: 623-512-4190 Fax: 623-512-4194 |