| Health Affairs Llc | |
|
6809 Woodstream Dr Lanham MD 20706-2125 | |
| (301) 806-7865 | |
| Not Available |
| Full Name | Health Affairs Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6809 Woodstream Dr, Lanham, Maryland |
| Authorized Official Name and Position | Edith Onyenemezu (OWNER) |
| Authorized Official Contact | 3018067865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Affairs Llc 6809 Woodstream Dr Lanham MD 20706-2125 Ph: (301) 806-7865 | Health Affairs Llc 6809 Woodstream Dr Lanham MD 20706-2125 Ph: (301) 806-7865 |
| NPI Number | 1720851439 |
|---|---|
| Provider Enumeration Date | 11/03/2023 |
| Last Update Date | 11/03/2023 |
| Certification Date | 11/03/2023 |
| Medicare PECOS PAC ID | 0749624716 |
|---|---|
| Medicare Enrollment ID | O20240217000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720851439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Edith E Onyenemezu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164070280 PECOS PAC ID: 4587094354 Enrollment ID: I20210323000998 |
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