| Nurse Practitioner On Call Llc | |
|
1800 N Charles St Ste 804 Baltimore MD 21201-5987 | |
| (240) 898-1810 | |
| Not Available |
| Full Name | Nurse Practitioner On Call Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1800 N Charles St Ste 804, Baltimore, Maryland |
| Authorized Official Name and Position | Kelvinda Kamara (OWNER) |
| Authorized Official Contact | 2406199180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nurse Practitioner On Call Llc 1002 Cortana Ct Severn MD 21144-1184 Ph: (240) 619-9180 | Nurse Practitioner On Call Llc 1800 N Charles St Ste 804 Baltimore MD 21201-5987 Ph: (240) 898-1810 |
| NPI Number | 1528685161 |
|---|---|
| Provider Enumeration Date | 06/30/2020 |
| Last Update Date | 07/06/2022 |
| Certification Date | 07/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528685161 | NPI | - | NPPES |
| 258824200 | Medicaid | MD | |
| 585449100 | Medicaid | MD |
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