| Fmw Medspa Inc. | |
|
1518 Philadelphia Rd Joppa MD 21085-3216 | |
| (443) 840-9478 | |
| (410) 616-9048 |
| Full Name | Fmw Medspa Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1518 Philadelphia Rd, Joppa, Maryland |
| Authorized Official Name and Position | Linette I Eke (PMHNP) |
| Authorized Official Contact | 4438409478 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fmw Medspa Inc. 1518 Philadelphia Rd Joppa MD 21085-3216 Ph: (443) 840-9478 | Fmw Medspa Inc. 1518 Philadelphia Rd Joppa MD 21085-3216 Ph: (443) 840-9478 |
| NPI Number | 1538747068 |
|---|---|
| Provider Enumeration Date | 03/29/2021 |
| Last Update Date | 01/08/2025 |
| Certification Date | 01/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538747068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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