| Ms Shana Nicole Nichols, PMHNP | |
|
8338 Veterans Hwy Ste 204a, Millersville, MD 21108-2603 | |
| (410) 705-4422 | |
| (205) 855-0617 |
| Full Name | Ms Shana Nicole Nichols |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 8338 Veterans Hwy Ste 204a, Millersville, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033822317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R213445 (Maryland) | Primary |
| Entity Name | Toller Enterprises, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821697533 PECOS PAC ID: 8628481926 Enrollment ID: O20210105002952 |
| Entity Name | Spiritual Healing |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003502337 PECOS PAC ID: 7113388802 Enrollment ID: O20230727002041 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Shana Nicole Nichols, PMHNP 7933 Annapolis Rd # 1054, Lanham, MD 20706-1309 Ph: (410) 705-4422 | Ms Shana Nicole Nichols, PMHNP 8338 Veterans Hwy Ste 204a, Millersville, MD 21108-2603 Ph: (410) 705-4422 |
Kimloan Merchant, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8601 Veterans Hwy, Millersville, MD 21108 Phone: 410-553-8092 | |
Josephine Nwoko, GNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8601 Veterans Hwy, Suite 211, Millersville, MD 21108 Phone: 410-553-8092 | |
Wanda Lafaye Ghant-mooney, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8124 Veterans Hwy, Millersville, MD 21108 Phone: 866-389-2727 Fax: 401-216-3854 | |
Latoya Harvey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8408 Adler Ct, Millersville, MD 21108 Phone: 240-667-2099 | |
Ms. Ashley Erin Ewald, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 231 Najoles Rd Ste 300, Millersville, MD 21108 Phone: 443-837-7770 | |
Alexandra Barniea Green, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 Benfield Blvd Ste 250, Millersville, MD 21108 Phone: 410-975-5447 |