Priority Well-being Inc | |
7004 Security Blvd Ste 300-a22 Baltimore MD 21244-2557 | |
(410) 936-3768 | |
(443) 572-4255 |
Full Name | Priority Well-being Inc |
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Speciality | Clinic/Center |
Location | 7004 Security Blvd Ste 300-a22, Baltimore, Maryland |
Authorized Official Name and Position | Fatoumata Niagado (NURSE PRACTITIONER) |
Authorized Official Contact | 4109363768 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Priority Well-being Inc 7004 Security Blvd Ste 300-a22 Baltimore MD 21244-2557 Ph: () - | Priority Well-being Inc 7004 Security Blvd Ste 300-a22 Baltimore MD 21244-2557 Ph: (410) 936-3768 |
NPI Number | 1184374936 |
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Provider Enumeration Date | 03/25/2022 |
Last Update Date | 04/16/2022 |
Certification Date | 04/16/2022 |
Medicare PECOS PAC ID | 5395113658 |
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Medicare Enrollment ID | O20221118000131 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184374936 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Fatoumata Niagado |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205458676 PECOS PAC ID: 2860804713 Enrollment ID: I20210728002028 |
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