| Mcnolan Healthcare Services | |
|
1330 N Sewards Ct Aberdeen MD 21001-3955 | |
| (646) 965-0900 | |
| Not Available |
| Full Name | Mcnolan Healthcare Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1330 N Sewards Ct, Aberdeen, Maryland |
| Authorized Official Name and Position | Shilla Pokuaa (PRESIDENT) |
| Authorized Official Contact | 6469650900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcnolan Healthcare Services 1330 N Sewards Ct Aberdeen MD 21001-3955 Ph: (646) 965-0900 | Mcnolan Healthcare Services 1330 N Sewards Ct Aberdeen MD 21001-3955 Ph: (646) 965-0900 |
| NPI Number | 1114604410 |
|---|---|
| Provider Enumeration Date | 06/29/2023 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/29/2023 |
| Medicare PECOS PAC ID | 7214399823 |
|---|---|
| Medicare Enrollment ID | O20230814004046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114604410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Shilla Pokuaa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417455585 PECOS PAC ID: 3072874338 Enrollment ID: I20230814004062 |
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