| Shola Obiku, | |
|
40 Foxcroft Rd, Enfield, CT 06082-2463 | |
| (413) 234-5556 | |
| Not Available |
| Full Name | Shola Obiku |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 40 Foxcroft Rd, Enfield, Connecticut |
| 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 |
|---|---|---|---|
| 1790586394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 2336642 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baystate Medical Center | Springfield, MA | Hospital |
| Baystate Noble Hospital | Westfield, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Impact Physician Group Massachusetts Pllc | 2668976093 | 5 |
| Mailing Address | Practice Location Address |
|---|---|
| Shola Obiku, 40 Foxcroft Rd, Enfield, CT 06082-2463 Ph: (413) 234-5556 | Shola Obiku, 40 Foxcroft Rd, Enfield, CT 06082-2463 Ph: (413) 234-5556 |
Barbara Kuracz, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 151 Hazard Ave, Enfield, CT 06082 Phone: 860-763-8044 Fax: 860-272-2990 | |
Mary Lou Romano, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 47 Palomba Dr, Enfield, CT 06082 Phone: 860-253-5020 Fax: 860-253-5030 | |
Evelyn K Frimpong, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 153 Hazard Ave, Enfield, CT 06082 Phone: 860-731-5522 Fax: 860-731-5536 | |
Rebeca Griffith, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7 Dorothy St, Enfield, CT 06082 Phone: 860-670-0301 | |
Whitney E Ortiz Miller, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 153 Hazard Ave, Enfield, CT 06082 Phone: 860-731-5522 Fax: 860-731-5536 | |
Kelly Theresa Tobin, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 153 Hazard Ave, Enfield, CT 06082 Phone: 860-253-5020 | |
Diane Stack, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 36 Middle Rd, Enfield, CT 06082 Phone: 860-763-5669 Fax: 860-763-5664 |