New Direction Healthcare Llc | |
9135 Piscataway Rd Ste 420 Clinton MD 20735-2555 | |
(301) 565-2250 | |
Not Available |
Full Name | New Direction Healthcare Llc |
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Speciality | Nurse Practitioner |
Location | 9135 Piscataway Rd Ste 420, Clinton, Maryland |
Authorized Official Name and Position | Nkechi Nikki Franca Ukwandu (ADMINISTRATOR) |
Authorized Official Contact | 2025097000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Direction Healthcare Llc 8503 Woodside Ct Lanham MD 20706-3936 Ph: () - | New Direction Healthcare Llc 9135 Piscataway Rd Ste 420 Clinton MD 20735-2555 Ph: (301) 565-2250 |
NPI Number | 1598470817 |
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Provider Enumeration Date | 01/20/2023 |
Last Update Date | 04/01/2024 |
Certification Date | 04/01/2024 |
Medicare PECOS PAC ID | 1759741242 |
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Medicare Enrollment ID | O20230715000153 |
Identifier | Type | State | Issuer |
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1598470817 | NPI | - | NPPES |
Provider Name | Nkechi Nikki F Ukwandu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770142093 PECOS PAC ID: 6204266034 Enrollment ID: I20200420000821 |
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