| Nebambeta Healthcare Services | |
|
6100 Glenn Dale Rd Glenn Dale MD 20769-9211 | |
| (202) 904-0462 | |
| Not Available |
| Full Name | Nebambeta Healthcare Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 6100 Glenn Dale Rd, Glenn Dale, Maryland |
| Authorized Official Name and Position | Gladys Nebafu (PROVIDER) |
| Authorized Official Contact | 2029040462 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nebambeta Healthcare Services 6100 Glenn Dale Rd Glenn Dale MD 20769-9211 Ph: (202) 904-0462 | Nebambeta Healthcare Services 6100 Glenn Dale Rd Glenn Dale MD 20769-9211 Ph: (202) 904-0462 |
| NPI Number | 1033816673 |
|---|---|
| Provider Enumeration Date | 02/14/2023 |
| Last Update Date | 02/14/2023 |
| Certification Date | 02/13/2023 |
| Medicare PECOS PAC ID | 3476911280 |
|---|---|
| Medicare Enrollment ID | O20230626002383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033816673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Gladys Mbah Nebafu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710514542 PECOS PAC ID: 4385002195 Enrollment ID: I20230626002439 |
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