| Ambiance Primary Care LLC | |
|
12006 Veirs Mill Rd Silver Spring MD 20906-4513 | |
| (301) 471-8846 | |
| Not Available |
| Full Name | Ambiance Primary Care LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 12006 Veirs Mill Rd, Silver Spring, Maryland |
| Authorized Official Name and Position | Regine Josie (OWNER) |
| Authorized Official Contact | 3014718846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ambiance Primary Care LLC 12006 Veirs Mill Rd Silver Spring MD 20906-4513 | Ambiance Primary Care LLC 12006 Veirs Mill Rd Silver Spring MD 20906-4513 Ph: (301) 471-8846 |
| NPI Number | 1710613096 |
|---|---|
| Provider Enumeration Date | 07/28/2022 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Medicare PECOS PAC ID | 0042695165 |
|---|---|
| Medicare Enrollment ID | O20230110002527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710613096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Regine Josie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033850995 PECOS PAC ID: 4587049606 Enrollment ID: I20230110002802 |
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