| Theresa Nkechi Ekenedo, NP | |
|
1000 Blythe Blvd, Charlotte, NC 28203-5812 | |
| (704) 446-3451 | |
| Not Available |
| Full Name | Theresa Nkechi Ekenedo |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Medical-surgical |
| Location | 1000 Blythe Blvd, Charlotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164096319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 24962 (South Carolina) | Secondary |
| 163WM0705X | Registered Nurse - Medical-surgical | 259365 (South Carolina) | Primary |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002986 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Nkechi Ekenedo, NP 713 Woburn Abbey Dr, Fort Mill, SC 29715-6930 Ph: (704) 808-0732 | Theresa Nkechi Ekenedo, NP 1000 Blythe Blvd, Charlotte, NC 28203-5812 Ph: (704) 446-3451 |
Precious Iriaghomo Woodward, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Lori J Hyler, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 502 Brackenbury Ln, Charlotte, NC 28270 Phone: 980-288-2273 | |
Mrs. Rubye Burks Wallace, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 249 Billingsley Rd, Charlotte, NC 28211 Phone: 704-336-5492 Fax: 704-331-0859 | |
Mrs. Linda Kelley Huddleston, IBCLC, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8805 Castlebay Dr, Charlotte, NC 28277 Phone: 704-733-7341 | |
Jaquaya Renae Harvey, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9916 Season Grove Ln Apt 207, Charlotte, NC 28216 Phone: 440-381-9313 | |
Kelly Anne Meyer, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Elizabeth Edden, Registered Nurse Medicare: Medicare Enrolled Practice Location: 1900 Randolph Road., Suite 210, Charlotte, NC 28207 Phone: 704-370-0223 Fax: 704-370-0799 |