| Mrs Mana Z Agbonghae, FNP-C | |
|
1901 Veterans Memorial Dr, Temple, TX 76504-7451 | |
| (254) 654-8036 | |
| Not Available |
| Full Name | Mrs Mana Z Agbonghae |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1901 Veterans Memorial Dr, Temple, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952879389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP139197 (Texas) | Primary |
| Entity Name | Dhhs Phs Naihs Chinle Comprehensive Health Care Facility |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508800129 PECOS PAC ID: 9436062585 Enrollment ID: O20031106000210 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mana Z Agbonghae, FNP-C 10021 Birch Tree Dr, Temple, TX 76502-5368 Ph: (254) 654-8036 | Mrs Mana Z Agbonghae, FNP-C 1901 Veterans Memorial Dr, Temple, TX 76504-7451 Ph: (254) 654-8036 |
Jason Derek Bradshaw, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 S 1st St, Temple, TX 76504 Phone: 254-743-0714 | |
Ms. Misti Liden, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Clinite Grove Blvd Ste 130, Temple, TX 76502 Phone: 254-314-8699 | |
Rodney Duckett, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3605 Melrose Ln, Temple, TX 76502 Phone: 254-598-0240 | |
Kamia Rochelle Scroggins Fasheun, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Samantha Rufaro Makina, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Andrea Patterson, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Mrs. Milicent Cherisse Johnson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 S 31st St, 4b Pediatric Gastroenterology Clinic, Temple, TX 76508 Phone: 254-724-2708 |