| Avalon Health Care Inc. | |
|
401 Carroll St Ste 106 La Plata MD 20646-5987 | |
| (888) 360-5552 | |
| (301) 968-1231 |
| Full Name | Avalon Health Care Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 401 Carroll St Ste 106, La Plata, Maryland |
| Authorized Official Name and Position | Wanda Hart (OFFICER) |
| Authorized Official Contact | 8883605552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon Health Care Inc. 401 Carroll St Ste 106 La Plata MD 20646-5987 Ph: (888) 360-5552 | Avalon Health Care Inc. 401 Carroll St Ste 106 La Plata MD 20646-5987 Ph: (888) 360-5552 |
| NPI Number | 1932822954 |
|---|---|
| Provider Enumeration Date | 09/23/2022 |
| Last Update Date | 09/23/2022 |
| Medicare PECOS PAC ID | 0042675787 |
|---|---|
| Medicare Enrollment ID | O20230502000740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932822954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Rachel E Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588165724 PECOS PAC ID: 2466708433 Enrollment ID: I20190211000295 |
| Provider Name | Gabriela Amaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275064222 PECOS PAC ID: 9537547252 Enrollment ID: I20220608000172 |
| Provider Name | Udo Igwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053954602 PECOS PAC ID: 1658792411 Enrollment ID: I20230609002531 |
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