| Nballu Goba, FNP | |
|
9900 Bren Rd E, Minnetonka, MN 55343-9664 | |
| (404) 291-4680 | |
| Not Available |
| Full Name | Nballu Goba |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 9900 Bren Rd E, Minnetonka, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386169241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0184367 (Georgia) | Primary |
| Entity Name | Reliance Health And Home Physician Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740638436 PECOS PAC ID: 4385920107 Enrollment ID: O20170411000111 |
| Entity Name | Wellbe Senior Medical Group Of Georgia, P. C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205463163 PECOS PAC ID: 3375972243 Enrollment ID: O20200601002024 |
| Mailing Address | Practice Location Address |
|---|---|
| Nballu Goba, FNP 9900 Bren Rd E, Minnetonka, MN 55343-9664 Ph: (404) 291-4680 | Nballu Goba, FNP 9900 Bren Rd E, Minnetonka, MN 55343-9664 Ph: (404) 291-4680 |
Mavis Osei Yeboah, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 336-549-6221 | |
Alane Renee Hartlage, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 608-286-0556 | |
Dawn M Schaefer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 414-477-9978 | |
Rose M Paz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 Phone: 855-247-8847 | |
Raul Rodriguez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 915-218-8568 | |
Ms. Susanna Monroe, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 Phone: 941-875-5890 | |
Karry Ermita Audain, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 305-432-1249 |