| Norkris Services, Inc | |
|
611 S Union Ave Havre De Grace MD 21078-3421 | |
| (443) 526-6133 | |
| (443) 526-6134 |
| Full Name | Norkris Services, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 611 S Union Ave, Havre De Grace, Maryland |
| Authorized Official Name and Position | Audrey A Forka (CEO) |
| Authorized Official Contact | 6095982298 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Norkris Services, Inc 611 S Union Ave Havre De Grace MD 21078-3421 Ph: (443) 526-6133 | Norkris Services, Inc 611 S Union Ave Havre De Grace MD 21078-3421 Ph: (443) 526-6133 |
| NPI Number | 1487025094 |
|---|---|
| Provider Enumeration Date | 10/08/2015 |
| Last Update Date | 09/24/2024 |
| Certification Date | 09/24/2024 |
| Medicare PECOS PAC ID | 3375848625 |
|---|---|
| Medicare Enrollment ID | O20160224000847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487025094 | NPI | - | NPPES |
| Provider Name | Brandon J Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679973382 PECOS PAC ID: 4183846504 Enrollment ID: I20141119000261 |
| Provider Name | Audrey A Forka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780087213 PECOS PAC ID: 0648593855 Enrollment ID: I20151202002038 |
| Provider Name | Lula M Heatley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164702098 PECOS PAC ID: 0042596975 Enrollment ID: I20170407001147 |
| Provider Name | Betty Githuku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073037479 PECOS PAC ID: 9133494644 Enrollment ID: I20171010001989 |
| Provider Name | Carla Dimiris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043768906 PECOS PAC ID: 6103104724 Enrollment ID: I20180627002432 |
| Provider Name | Patricia Ejoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710453303 PECOS PAC ID: 0244578771 Enrollment ID: I20190208000316 |
| Provider Name | Aminata Bangura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740841030 PECOS PAC ID: 5991036469 Enrollment ID: I20191015000205 |
| Provider Name | Funmilayo Olugbemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780151647 PECOS PAC ID: 4981936127 Enrollment ID: I20191021003465 |
| Provider Name | Bobbie Nnodim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649821166 PECOS PAC ID: 5395177794 Enrollment ID: I20191122000511 |
| Provider Name | Florence O Oriakhi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043854607 PECOS PAC ID: 0244667822 Enrollment ID: I20200220000093 |
| Provider Name | Lacreasha A Fullard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821696196 PECOS PAC ID: 6608267026 Enrollment ID: I20211220000885 |
| Provider Name | Joyce C Awujor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063119832 PECOS PAC ID: 6901271907 Enrollment ID: I20230405000118 |
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