| Princess Kukua Ahedor, | |
|
416 N Stanton St Ste 600d, El Paso, TX 79901-1245 | |
| (915) 317-1054 | |
| (982) 268-0069 |
| Full Name | Princess Kukua Ahedor |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 416 N Stanton St Ste 600d, El Paso, Texas |
| 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 |
|---|---|---|---|
| 1215401906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP139886 (Texas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP139886 (Texas) | Primary |
| Entity Name | Soul Spring Psychiatry PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902616907 PECOS PAC ID: 9537676390 Enrollment ID: O20260219000105 |
| Mailing Address | Practice Location Address |
|---|---|
| Princess Kukua Ahedor, 2712 Tierra Murcia St, El Paso, TX 79938-2220 Ph: (915) 317-1054 | Princess Kukua Ahedor, 416 N Stanton St Ste 600d, El Paso, TX 79901-1245 Ph: (915) 317-1054 |
Ms. Luelen D Cunyus, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8269 N Loop Dr, El Paso, TX 79907 Phone: 915-591-1615 Fax: 915-591-2875 |
Mirabelle Nofeh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11450 Gateway Blvd N Ste 1100, El Paso, TX 79934 Phone: 915-271-4635 |
Joseph Jeffrey Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4801 Alberta Ave, El Paso, TX 79905 Phone: 915-215-5400 Fax: 915-215-8632 |
Andres Baeza, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 Montana Ave, El Paso, TX 79902 Phone: 915-887-3410 |
Bryan Botello, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4305 N Mesa St, El Paso, TX 79902 Phone: 915-532-2477 Fax: 915-242-6461 |
Imelda V Wallace, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11860 Vista Del Sol Dr Ste 150, El Paso, TX 79936 Phone: 915-808-4000 |
Kathryn Josephine Goss, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4845 Alameda Ave, El Paso, TX 79905 Phone: 915-298-5444 |