| Visionary Professional Healthcare Services | |
|
14114 Jones Bridge Rd Upper Marlboro MD 20774-8860 | |
| (301) 377-9800 | |
| Not Available |
| Full Name | Visionary Professional Healthcare Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 14114 Jones Bridge Rd, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Sylivia Acholonu (PRESIDENT) |
| Authorized Official Contact | 3013779800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visionary Professional Healthcare Services 12138 Central Ave Ste 777 Mitchellville MD 20721-1910 Ph: () - | Visionary Professional Healthcare Services 14114 Jones Bridge Rd Upper Marlboro MD 20774-8860 Ph: (301) 377-9800 |
| NPI Number | 1922755966 |
|---|---|
| Provider Enumeration Date | 03/09/2022 |
| Last Update Date | 03/09/2022 |
| Certification Date | 03/09/2022 |
| Medicare PECOS PAC ID | 3870942246 |
|---|---|
| Medicare Enrollment ID | O20231211001286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922755966 | NPI | - | NPPES |
| Provider Name | Sylivia U Acholonu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316336498 PECOS PAC ID: 1153635750 Enrollment ID: I20150727001245 |
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