| Cozie Healthcare, Llc | |
|
3501 Golden Hill Dr Bowie MD 20721-2885 | |
| (919) 349-3177 | |
| Not Available |
| Full Name | Cozie Healthcare, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3501 Golden Hill Dr, Bowie, Maryland |
| Authorized Official Name and Position | Collette Nkeiruka Odibo (CEO) |
| Authorized Official Contact | 9193493177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cozie Healthcare, Llc 3501 Golden Hill Dr Bowie MD 20721-2885 Ph: (919) 349-3177 | Cozie Healthcare, Llc 3501 Golden Hill Dr Bowie MD 20721-2885 Ph: (919) 349-3177 |
| NPI Number | 1750152104 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/29/2024 |
| Medicare PECOS PAC ID | 2062946627 |
|---|---|
| Medicare Enrollment ID | O20241106000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750152104 | NPI | - | NPPES |
| Provider Name | Collette Odibo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255661294 PECOS PAC ID: 6305256710 Enrollment ID: I20201112003040 |
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