Shenicka O'brien, NP | |
20 Craigtown Rd, Port Deposit, MD 21904-1801 | |
(410) 642-9472 | |
Not Available |
Full Name | Shenicka O'brien |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 20 Craigtown Rd, Port Deposit, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1215691217 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | R235172 (Maryland) | Primary |
Entity Name | Privia Care Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164874426 PECOS PAC ID: 3274801139 Enrollment ID: O20170619000055 |
Entity Name | Transformation Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861017162 PECOS PAC ID: 8921419029 Enrollment ID: O20201120001692 |
Mailing Address | Practice Location Address |
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Shenicka O'brien, NP 20 Craigtown Rd, Port Deposit, MD 21904-1801 Ph: () - | Shenicka O'brien, NP 20 Craigtown Rd, Port Deposit, MD 21904-1801 Ph: (410) 642-9472 |
Andrea Brooks, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Rowland Dr, Port Deposit, MD 21904 Phone: 978-289-7247 | |
Brianna Cravero, CRNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Craigtown Rd Ste 101, Port Deposit, MD 21904 Phone: 410-642-9172 |