| Virtual Access Care LLC | |
|
14502 Greenview Dr Ste 545 Laurel MD 20708-3287 | |
| (240) 473-3007 | |
| (949) 695-2194 |
| Full Name | Virtual Access Care LLC |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 14502 Greenview Dr Ste 545, Laurel, Maryland |
| Authorized Official Name and Position | Amelia Y Abban (OWNER) |
| Authorized Official Contact | 2405331182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virtual Access Care LLC 14502 Greenview Dr Ste 545 Laurel MD 20708-3287 Ph: (240) 473-3007 | Virtual Access Care LLC 14502 Greenview Dr Ste 545 Laurel MD 20708-3287 Ph: (240) 473-3007 |
| NPI Number | 1790473593 |
|---|---|
| Provider Enumeration Date | 04/28/2023 |
| Last Update Date | 12/12/2023 |
| Certification Date | 12/07/2023 |
| Medicare PECOS PAC ID | 9537502703 |
|---|---|
| Medicare Enrollment ID | O20240206000143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790473593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | () | Primary |
| 207Q00000X | Family Medicine | () | Secondary |
| Provider Name | Amelia Yatta Abban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023761970 PECOS PAC ID: 1052705639 Enrollment ID: I20220224000936 |
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