| Onome Agbaza, CNM | |
|
2007 Graves Mill Rd, Forest, VA 24551-2656 | |
| (434) 385-8948 | |
| Not Available |
| Full Name | Onome Agbaza |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 2007 Graves Mill Rd, Forest, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669253613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0024189651 (Virginia) | Secondary |
| 367A00000X | Advanced Practice Midwife | 0024189651 (Virginia) | Primary |
| Entity Name | The Moses H Cone Memorial Hospital Operating Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356372064 PECOS PAC ID: 6204744600 Enrollment ID: O20031124000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Onome Agbaza, CNM 4014 Mountainridge Dr, Greensboro, NC 27401-4868 Ph: () - | Onome Agbaza, CNM 2007 Graves Mill Rd, Forest, VA 24551-2656 Ph: (434) 385-8948 |
Elizabeth Ashley Venable, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2007 Graves Mill Rd, Forest, VA 24551 Phone: 918-261-6246 | |
Sydney P Ray, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2007 Graves Mill Rd, Forest, VA 24551 Phone: 434-385-8948 | |
Sydney Layne Doyle-epp, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2007 Graves Mill Rd, Forest, VA 24551 Phone: 434-385-8948 | |
Mrs. Karissa L Ratanpal, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2007 Graves Mill Rd, Forest, VA 24551 Phone: 434-385-8948 | |
Lisa Neumann-smith, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2007 Graves Mill Rd, Forest, VA 24551 Phone: 434-385-8948 | |
Amanda Eileen Wilkins, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2007 Graves Mill Rd, Forest, VA 24551 Phone: 434-385-8948 | |
Mrs. Keri Redman, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2007 Graves Mill Rd, Forest, VA 24551 Phone: 434-385-8948 |