| Nugahealth Primary Care Llc | |
|
11636 Port Royal Ave Waldorf MD 20602-5193 | |
| (240) 755-1452 | |
| Not Available |
| Full Name | Nugahealth Primary Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11636 Port Royal Ave, Waldorf, Maryland |
| Authorized Official Name and Position | Omobolanle M Adenuga (NURSE PRACTITIONER) |
| Authorized Official Contact | 2407551452 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nugahealth Primary Care Llc 11636 Port Royal Ave Waldorf MD 20602-5193 Ph: () - | Nugahealth Primary Care Llc 11636 Port Royal Ave Waldorf MD 20602-5193 Ph: (240) 755-1452 |
| NPI Number | 1053959411 |
|---|---|
| Provider Enumeration Date | 12/17/2019 |
| Last Update Date | 12/17/2019 |
| Medicare PECOS PAC ID | 5991134629 |
|---|---|
| Medicare Enrollment ID | O20200401001820 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053959411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Omobolanle M Adenuga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336796465 PECOS PAC ID: 6800225533 Enrollment ID: I20200401001874 |
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