| Suuna Chi Healthcare Services, Llc | |
|
6609 Reisterstown Rd Ste 201 Baltimore MD 21215-2634 | |
| (301) 604-4830 | |
| Not Available |
| Full Name | Suuna Chi Healthcare Services, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6609 Reisterstown Rd Ste 201, Baltimore, Maryland |
| Authorized Official Name and Position | Florence A Nwana (OWNER) |
| Authorized Official Contact | 4438035391 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suuna Chi Healthcare Services, Llc 13639 Baltimore Ave Laurel MD 20707-5095 Ph: (301) 604-4830 | Suuna Chi Healthcare Services, Llc 6609 Reisterstown Rd Ste 201 Baltimore MD 21215-2634 Ph: (301) 604-4830 |
| NPI Number | 1295334506 |
|---|---|
| Provider Enumeration Date | 10/19/2020 |
| Last Update Date | 07/21/2021 |
| Certification Date | 07/21/2021 |
| Medicare PECOS PAC ID | 5395007801 |
|---|---|
| Medicare Enrollment ID | O20201112000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295334506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
| Provider Name | Florence A Nwana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023443652 PECOS PAC ID: 8628291143 Enrollment ID: I20140530000106 |
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