Khudsiatu Tucker, | |
5632 Annapolis Rd Ste 11, Bladensburg, MD 20710-2213 | |
(240) 486-7097 | |
Not Available |
Full Name | Khudsiatu Tucker |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5632 Annapolis Rd Ste 11, Bladensburg, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1831707488 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R166523 (Maryland) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0024179570 (Virginia) | Primary |
Entity Name | Minuteclinic Diagnostic Of Virginia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417076829 PECOS PAC ID: 6709960891 Enrollment ID: O20080228000067 |
Mailing Address | Practice Location Address |
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Khudsiatu Tucker, 5632 Annapolis Rd Ste 11, Bladensburg, MD 20710-2213 Ph: (240) 486-7097 | Khudsiatu Tucker, 5632 Annapolis Rd Ste 11, Bladensburg, MD 20710-2213 Ph: (240) 486-7097 |
Silifat Abeke Adepetu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5802 Annapolis Rd Apt 1006, Bladensburg, MD 20710 Phone: 301-531-0475 | |
Dr. Marc Zhang, DNP, MD(ECFMG-C), MS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5632 Annapolis Rd Ste 4, Bladensburg, MD 20710 Phone: 301-851-5766 |