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NPI Code Detail

MEDICARE: NNEKA ASIAMIGBE MMS, PA-C

MEDICARE: NNEKA ASIAMIGBE MMS, PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA9108090FL
2363A00000XPhysician AssistantPA2014-0081NM
3363A00000XPhysician AssistantPA61220081WA
4363A00000XPhysician AssistantPA2568ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134522063
Entity Type Code : Individual
Provider Name (Legal Business Name) : NNEKA ASIAMIGBE MMS, PA-C
Provider Business Mailing Address
First Line : 529 S PATTEN RD
Second Line :
City : PATTEN
State : ME
Zip : 04765-3007
Country : US
Telephone Number : 207-538-3700
Fax Number : 855-849-8457
Provider Business Practice Location Address
First Line : 529 S PATTEN RD
Second Line :
City : PATTEN
State : ME
Zip : 04765-3007
Country : US
Telephone Number : 207-538-3700
Fax Number : 855-849-8457
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2014
Last Update Date : 02/27/2025

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