| Hanei Health Solutions, Llc | |
|
1420 Merritt Blvd Ste B Dundalk MD 21222-2192 | |
| (786) 246-7326 | |
| (240) 306-9325 |
| Full Name | Hanei Health Solutions, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1420 Merritt Blvd Ste B, Dundalk, Maryland |
| Authorized Official Name and Position | Juddy Morgan (CRNP-PMH) |
| Authorized Official Contact | 4437412488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanei Health Solutions, Llc 451 N Hungerford Dr Ste 119 Rm 114 Rockville MD 20850 Ph: () - | Hanei Health Solutions, Llc 1420 Merritt Blvd Ste B Dundalk MD 21222-2192 Ph: (786) 246-7326 |
| NPI Number | 1902435365 |
|---|---|
| Provider Enumeration Date | 04/06/2020 |
| Last Update Date | 03/09/2021 |
| Certification Date | 02/23/2021 |
| Medicare PECOS PAC ID | 7719318005 |
|---|---|
| Medicare Enrollment ID | O20200521001321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902435365 | NPI | - | NPPES |
| 425012500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Juddy Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528253002 PECOS PAC ID: 8022305655 Enrollment ID: I20160927000126 |
| Provider Name | Rita E Pyuzza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083158158 PECOS PAC ID: 4880979533 Enrollment ID: I20170321001881 |
| Provider Name | Lorna Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598308645 PECOS PAC ID: 6103254719 Enrollment ID: I20200313001363 |
| Provider Name | Bolanle Saba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063079879 PECOS PAC ID: 3577996719 Enrollment ID: I20201014003264 |
| Provider Name | Miriam Chynwe Ezenwaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356061717 PECOS PAC ID: 7911366711 Enrollment ID: I20230711001473 |
| Provider Name | Millesia A Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144718990 PECOS PAC ID: 1456711266 Enrollment ID: I20230712000851 |
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