| Mindvisory Llc | |
|
802 Village Cir Apt D Newark DE 19713-4901 | |
| (302) 252-8498 | |
| Not Available |
| Full Name | Mindvisory Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 802 Village Cir Apt D, Newark, Delaware |
| Authorized Official Name and Position | Elizabeth Gichema (OWNER) |
| Authorized Official Contact | 3022528498 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindvisory Llc 802 Village Cir Apt D Newark DE 19713-4901 Ph: (302) 252-8498 | Mindvisory Llc 802 Village Cir Apt D Newark DE 19713-4901 Ph: (302) 252-8498 |
| NPI Number | 1205578572 |
|---|---|
| Provider Enumeration Date | 04/08/2022 |
| Last Update Date | 03/13/2024 |
| Medicare PECOS PAC ID | 5092192898 |
|---|---|
| Medicare Enrollment ID | O20220517001984 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205578572 | NPI | - | NPPES |
| Provider Name | Elizabeth Gichema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356860167 PECOS PAC ID: 7214203975 Enrollment ID: I20171024002845 |
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