| My Wellness 1 Inc | |
|
4531 32nd St Mount Rainier MD 20712-1613 | |
| (240) 253-3912 | |
| Not Available |
| Full Name | My Wellness 1 Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4531 32nd St, Mount Rainier, Maryland |
| Authorized Official Name and Position | Marinette N Zibi (PRESIDENT) |
| Authorized Official Contact | 2402533912 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Wellness 1 Inc 4531 32nd St Mount Rainier MD 20712-1613 Ph: (240) 253-3912 | My Wellness 1 Inc 4531 32nd St Mount Rainier MD 20712-1613 Ph: (240) 253-3912 |
| NPI Number | 1720763246 |
|---|---|
| Provider Enumeration Date | 06/21/2023 |
| Last Update Date | 10/01/2023 |
| Certification Date | 10/01/2023 |
| Medicare PECOS PAC ID | 6406216779 |
|---|---|
| Medicare Enrollment ID | O20230718002883 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720763246 | NPI | - | NPPES |
| Provider Name | Marinette N Zibi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548610215 PECOS PAC ID: 9931534393 Enrollment ID: I20200114001266 |
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