| A Clean Start Urgent Care | |
|
3 Greenwood Pl Ste 108 Pikesville MD 21208-2701 | |
| (410) 205-7698 | |
| (443) 450-5937 |
| Full Name | A Clean Start Urgent Care |
|---|---|
| Speciality | General Practice |
| Location | 3 Greenwood Pl Ste 108, Pikesville, Maryland |
| Authorized Official Name and Position | Anikka Stokes (CEO) |
| Authorized Official Contact | 4435167160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Clean Start Urgent Care 3 Greenwood Pl Ste 108 Pikesville MD 21208-2701 Ph: (410) 205-7698 | A Clean Start Urgent Care 3 Greenwood Pl Ste 108 Pikesville MD 21208-2701 Ph: (410) 205-7698 |
| NPI Number | 1194295881 |
|---|---|
| Provider Enumeration Date | 11/26/2018 |
| Last Update Date | 01/10/2023 |
| Certification Date | 01/10/2023 |
| Medicare PECOS PAC ID | 9931508124 |
|---|---|
| Medicare Enrollment ID | O20210520000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194295881 | NPI | - | NPPES |
| Provider Name | Victoria Ngozi Emelogu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770084998 PECOS PAC ID: 1052667359 Enrollment ID: I20180628001747 |
| Provider Name | Maureen O Tabansi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013554195 PECOS PAC ID: 2668882788 Enrollment ID: I20201102002185 |
| Provider Name | Kirsten Taleb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225675465 PECOS PAC ID: 4082028857 Enrollment ID: I20210208000803 |
| Provider Name | Tiffany Dirickson-ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306472717 PECOS PAC ID: 3072906668 Enrollment ID: I20220202002741 |
| Provider Name | Candice Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700510690 PECOS PAC ID: 1850762527 Enrollment ID: I20230118000353 |
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