| Philomina Ebere Obah, NURSE PRACTITIONER | |
|
275 W 200 N Ste 7, Kaysville, UT 84037-1873 | |
| (801) 546-1300 | |
| (801) 546-1301 |
| Full Name | Philomina Ebere Obah |
|---|---|
| Gender | Female |
| Speciality | Pain Management |
| Experience | 3 Years |
| Location | 275 W 200 N Ste 7, Kaysville, Utah |
| 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 |
|---|---|---|---|
| 1326735812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 90455463102 (Utah) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 9045546-4405 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Life Spring Pain Management Llc | 2567697931 | 4 |
| Entity Name | Life Spring Pain Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699115188 PECOS PAC ID: 2567697931 Enrollment ID: O20131023002412 |
| Mailing Address | Practice Location Address |
|---|---|
| Philomina Ebere Obah, NURSE PRACTITIONER 149 Eastfork Cir, Farmington, UT 84025-2672 Ph: (801) 641-3691 | Philomina Ebere Obah, NURSE PRACTITIONER 275 W 200 N Ste 7, Kaysville, UT 84037-1873 Ph: (801) 546-1300 |
Jocelyn Anne Montierth, MSN, APRN, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 375 N Main St Ste 103, Kaysville, UT 84037 Phone: 801-216-4130 | |
Blake Henry Miles, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 977 S Via La Costa Way, Kaysville, UT 84037 Phone: 801-589-6988 | |
Natalie E Royster-jensen, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 498 N Kays Dr Ste 200, Kaysville, UT 84037 Phone: 385-382-1555 | |
Nicole Stapley, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 380 N 400 W, Kaysville, UT 84037 Phone: 801-773-4840 Fax: 801-525-8151 | |
Mr. Jordan Wyler Johnsen, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 375 N Main St Ste 103, Kaysville, UT 84037 Phone: 801-876-3749 Fax: 801-876-3697 | |
Nicholas George Jarvis, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 375 N Main St Ste 103, Kaysville, UT 84037 Phone: 801-876-3749 | |
Cheryl Ann Wentworth, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 498 N 900 W, Kaysville, UT 84037 Phone: 385-382-1555 |