| Anita Enadeghe, | |
|
1800 Orleans St, Baltimore, MD 21287-0010 | |
| (410) 502-2037 | |
| (410) 955-0737 |
| Full Name | Anita Enadeghe |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Women's Health |
| Location | 1800 Orleans St, Baltimore, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184297764 | NPI | - | NPPES |
| R189695 | Other | MD | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R189695 (Maryland) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | R189695 (Maryland) | Primary |
| Entity Name | Professional Services of Holy Cross |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487692828 PECOS PAC ID: 3779516992 Enrollment ID: O20050916000745 |
| Entity Name | Simplygyn LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871317719 PECOS PAC ID: 6103313200 Enrollment ID: O20251014000223 |
| Mailing Address | Practice Location Address |
|---|---|
| Anita Enadeghe, 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-2700 | Anita Enadeghe, 1800 Orleans St, Baltimore, MD 21287-0010 Ph: (410) 502-2037 |
Ms. Lindsay Bream O'meara, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Suite S4d07, Baltimore, MD 21201 Phone: 410-328-3365 |
Mrs. Tamara Jeanne Setola, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7001 Johnnycake Rd Ste 101, Baltimore, MD 21244 Phone: 410-719-0063 |
Theresa J Ruddy, C.P.N.P., CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-5260 |
Alison C Eissler, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 N. Martin Luther King Jr. Blvd, Suite 102, Baltimore, MD 21201 Phone: 610-716-0192 |
Mrs. Rebecca Delaney Tsao, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 98 North Broadway, Suite 421, Baltimore, MD 21231 Phone: 410-955-6211 |
Kamishia Thomas Parham, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3407 Wilkens Ave Ste 300, Baltimore, MD 21229 Phone: 410-644-5111 |
Dana Aybout, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4940 Eastern Avenue, Baltimore, MD 21264 Phone: 410-550-5568 Fax: 410-550-0470 |