| Miss Abena Viola Prempeh, | |
|
5621 Xylon Ave N Apt 206, New Hope, MN 55428-5324 | |
| (609) 338-4325 | |
| Not Available |
| Full Name | Miss Abena Viola Prempeh |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 5621 Xylon Ave N Apt 206, New Hope, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538844345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 10331 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Diamond Lake Clinic, P.c. | 8022324664 | 10 |
| Entity Name | Diamond Lake Clinic, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740669498 PECOS PAC ID: 8022324664 Enrollment ID: O20150827002511 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Abena Viola Prempeh, 5621 Xylon Ave N Apt 206, New Hope, MN 55428-5324 Ph: (609) 338-4325 | Miss Abena Viola Prempeh, 5621 Xylon Ave N Apt 206, New Hope, MN 55428-5324 Ph: (609) 338-4325 |
Elizabeth Therkilsen, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7901 Bass Lake Rd, New Hope, MN 55428 Phone: 763-257-0130 | |
Arianne Davis, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5430 Boone Ave N, New Hope, MN 55428 Phone: 763-592-2600 | |
Queen Gbor Hill, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9220 Bass Lake Road, Suite 350, New Hope, MN 55428 Phone: 763-208-9545 Fax: 651-927-8668 | |
Lisa Burkauskas, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8200 42nd Ave N, New Hope, MN 55427 Phone: 763-581-0962 | |
Everlyn J Tarus, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7901 Bass Lake Rd, New Hope, MN 55428 Phone: 866-389-2772 |