| Elite Multi Specialty Clinic, Llc | |
|
12501 Prosperity Dr Ste 330 Silver Spring MD 20904-1655 | |
| (301) 592-1780 | |
| (240) 645-4013 |
| Full Name | Elite Multi Specialty Clinic, Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 12501 Prosperity Dr Ste 330, Silver Spring, Maryland |
| Authorized Official Name and Position | Adaora Perpetua Noummy (OFFICE ADMIN) |
| Authorized Official Contact | 3015921780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Multi Specialty Clinic, Llc 12501 Prosperity Dr Ste 330 Silver Spring MD 20904-1655 Ph: (301) 592-1780 | Elite Multi Specialty Clinic, Llc 12501 Prosperity Dr Ste 330 Silver Spring MD 20904-1655 Ph: (301) 592-1780 |
| NPI Number | 1699386789 |
|---|---|
| Provider Enumeration Date | 08/12/2020 |
| Last Update Date | 08/12/2020 |
| Certification Date | 08/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699386789 | NPI | - | NPPES |
| 1053758235 | Other | DC | NPPES |
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