| Wecare Practice LLC | |
|
9811 Mallard Dr Laurel MD 20708-3143 | |
| (240) 360-6582 | |
| Not Available |
| Full Name | Wecare Practice LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 9811 Mallard Dr, Laurel, Maryland |
| Authorized Official Name and Position | Joseph Mbella (NURSE PRACTITIONER) |
| Authorized Official Contact | 2403606582 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wecare Practice LLC 7307 Gosling Pl Bowie MD 20720-4765 Ph: (240) 360-6582 | Wecare Practice LLC 9811 Mallard Dr Laurel MD 20708-3143 Ph: (240) 360-6582 |
| NPI Number | 1962197095 |
|---|---|
| Provider Enumeration Date | 04/05/2023 |
| Last Update Date | 04/05/2023 |
| Certification Date | 04/05/2023 |
| Medicare PECOS PAC ID | 6709236714 |
|---|---|
| Medicare Enrollment ID | O20240103000084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962197095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Joseph Mbella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669110136 PECOS PAC ID: 7517317522 Enrollment ID: I20240103000166 |
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