| Kenneth Nembu, PMHNP | |
|
13060 S Sunland Gin Rd, Arizona City, AZ 85123-8448 | |
| (520) 387-5651 | |
| Not Available |
| Full Name | Kenneth Nembu |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 13060 S Sunland Gin Rd, Arizona City, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841810371 | NPI | - | NPPES |
| 240670 | Other | 240670 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 10034566 (Oregon) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 240670 (Arizona) | Primary |
| Entity Name | Mind 247 Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902472467 PECOS PAC ID: 6406253541 Enrollment ID: O20210916001566 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Nembu, PMHNP 410 N Malacate St, Ajo, AZ 85321-2254 Ph: (520) 387-5651 | Kenneth Nembu, PMHNP 13060 S Sunland Gin Rd, Arizona City, AZ 85123-8448 Ph: (520) 387-5651 |
Petra Rosa Mojica, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14574 S Sunland Gin Rd, Arizona City, AZ 85123 Phone: 520-387-5651 | |
Annabel Owusu, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14574 Sunland Gin Rd, Arizona City, AZ 85123 Phone: 520-387-5651 | |
Cecilia Araceli Munoz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13100 S Sunland Gin Rd Ste 3, Arizona City, AZ 85123 Phone: 520-719-0900 Fax: 833-941-2431 | |
Gilbert Joseph Montano, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14574 S Sunland Gin Rd, Arizona City, AZ 85123 Phone: 520-387-5651 Fax: 520-494-0130 | |
Mrs. Melisa Ann Harper, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13100 S Sunland Gin Rd Ste 2, Arizona City, AZ 85123 Phone: 520-468-2238 Fax: 520-844-1307 |