| Covid Testing And Wellness, Llc | |
|
1604 Ridgeside Dr Ste 202 Mount Airy MD 21771-5240 | |
| (410) 498-7055 | |
| Not Available |
| Full Name | Covid Testing And Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1604 Ridgeside Dr Ste 202, Mount Airy, Maryland |
| Authorized Official Name and Position | Emilienne Nkemayim (PARTNER) |
| Authorized Official Contact | 4104987055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Covid Testing And Wellness, Llc 7083 Bridle Ct Sykesville MD 21784-5963 Ph: (443) 609-4588 | Covid Testing And Wellness, Llc 1604 Ridgeside Dr Ste 202 Mount Airy MD 21771-5240 Ph: (410) 498-7055 |
| NPI Number | 1275286619 |
|---|---|
| Provider Enumeration Date | 01/26/2022 |
| Last Update Date | 01/26/2022 |
| Medicare PECOS PAC ID | 8527443332 |
|---|---|
| Medicare Enrollment ID | O20220915000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275286619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Emilienne Nguatem Nkemayim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093224149 PECOS PAC ID: 0648546200 Enrollment ID: I20171026000029 |
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