| F&m Renounce Healthcare Services | |
|
17505 Madrillon Way Accokeek MD 20607-3457 | |
| (301) 675-1652 | |
| (240) 607-8461 |
| Full Name | F&m Renounce Healthcare Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 17505 Madrillon Way, Accokeek, Maryland |
| Authorized Official Name and Position | Nji Fru (OWNER) |
| Authorized Official Contact | 3016751652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| F&m Renounce Healthcare Services 17505 Madrillon Way Accokeek MD 20607-3457 Ph: (301) 675-1652 | F&m Renounce Healthcare Services 17505 Madrillon Way Accokeek MD 20607-3457 Ph: (301) 675-1652 |
| NPI Number | 1356993034 |
|---|---|
| Provider Enumeration Date | 07/12/2019 |
| Last Update Date | 08/23/2023 |
| Certification Date | 08/23/2023 |
| Medicare PECOS PAC ID | 1557760204 |
|---|---|
| Medicare Enrollment ID | O20210528001202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356993034 | NPI | - | NPPES |
| 091875814 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Nji J Fru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275893794 PECOS PAC ID: 8224374319 Enrollment ID: I20190110001390 |
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