| Michael Nwandu Dnp, Pmhnp-bc, Llc | |
|
1301 York Rd Ste 601 Lutherville MD 21093-6009 | |
| (410) 900-7617 | |
| Not Available |
| Full Name | Michael Nwandu Dnp, Pmhnp-bc, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1301 York Rd Ste 601, Lutherville, Maryland |
| Authorized Official Name and Position | Michael Nwandu (DR/DIR.) |
| Authorized Official Contact | 4109007617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Nwandu Dnp, Pmhnp-bc, Llc 5702 Country Farm Rd White Marsh MD 21162-1723 Ph: (410) 900-7617 | Michael Nwandu Dnp, Pmhnp-bc, Llc 1301 York Rd Ste 601 Lutherville MD 21093-6009 Ph: (410) 900-7617 |
| NPI Number | 1285250191 |
|---|---|
| Provider Enumeration Date | 06/17/2020 |
| Last Update Date | 05/22/2025 |
| Certification Date | 05/22/2025 |
| Medicare PECOS PAC ID | 4880012996 |
|---|---|
| Medicare Enrollment ID | O20200922000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285250191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Michael I Nwandu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053961987 PECOS PAC ID: 6800219783 Enrollment ID: I20200710001243 |
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