| Shenicka O'brien, NP | |
|
20 Craigtown Rd, Port Deposit, MD 21904-1801 | |
| (410) 642-9472 | |
| Not Available |
| Full Name | Shenicka O'brien |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 20 Craigtown Rd, Port Deposit, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215691217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R235172 (Maryland) | Primary |
| Entity Name | Privia Care Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164874426 PECOS PAC ID: 3274801139 Enrollment ID: O20170619000055 |
| Entity Name | Transformation Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861017162 PECOS PAC ID: 8921419029 Enrollment ID: O20201120001692 |
| Mailing Address | Practice Location Address |
|---|---|
| Shenicka O'brien, NP 20 Craigtown Rd, Port Deposit, MD 21904-1801 Ph: () - | Shenicka O'brien, NP 20 Craigtown Rd, Port Deposit, MD 21904-1801 Ph: (410) 642-9472 |
Andrea Brooks, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Rowland Dr, Port Deposit, MD 21904 Phone: 978-289-7247 | |
Nehama Moran, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Craigtown Rd, Port Deposit, MD 21904 Phone: 410-440-1400 | |
Brianna Cravero, CRNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Craigtown Rd Ste 101, Port Deposit, MD 21904 Phone: 410-642-9172 |