Oto-obong Eduok, | |
107 Raven Cliff Ln, Broussard, LA 70518-5340 | |
(504) 701-5607 | |
Not Available |
Full Name | Oto-obong Eduok |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 107 Raven Cliff Ln, Broussard, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780230474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 203681 (Louisiana) | Primary |
Entity Name | Iberia Comprehensive Community Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922046549 PECOS PAC ID: 6204817828 Enrollment ID: O20050809000029 |
Mailing Address | Practice Location Address |
---|---|
Oto-obong Eduok, 107 Raven Cliff Ln, Broussard, LA 70518-5340 Ph: (504) 701-5607 | Oto-obong Eduok, 107 Raven Cliff Ln, Broussard, LA 70518-5340 Ph: (504) 701-5607 |
Shawanna Marie Guillory, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 811 Albertson Pkwy Ste G, Broussard, LA 70518 Phone: 337-290-8520 | |
Mrs. Mikki Andrea Royston, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 Saint Nazaire Rd Ste C, Broussard, LA 70518 Phone: 337-470-4700 Fax: 337-470-4716 | |
Laura Katherine Woods, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 811 Albertson Pkwy Ste F, Broussard, LA 70518 Phone: 337-837-3615 Fax: 337-839-8097 | |
Mrs. Lisa Louise Schexnider, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1028 Forum Dr, Broussard, LA 70518 Phone: 337-326-9327 | |
Mrs. Natalie Breaux Blanchard, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 805 Albertson Pkwy Ste A, Broussard, LA 70518 Phone: 337-330-4730 | |
Mrs. Kendra Calais-kelly, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Albertson Pkwy, Broussard, LA 70518 Phone: 337-237-6444 | |
Jessica M. Hanna, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 811 D&e Albertson Pkwy, Broussard, LA 70518 Phone: 337-470-3560 Fax: 337-837-2551 |