| Ecarenow Telehealth | |
|
176 Thomas Johnson Dr Ste 203 Frederick MD 21702-4535 | |
| (301) 744-0979 | |
| (240) 556-0294 |
| Full Name | Ecarenow Telehealth |
|---|---|
| Speciality | Clinic/Center |
| Location | 176 Thomas Johnson Dr Ste 203, Frederick, Maryland |
| Authorized Official Name and Position | Janna Mustafina (CRNP) |
| Authorized Official Contact | 2408155978 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ecarenow Telehealth 176 Thomas Johnson Dr Ste 203 Frederick MD 21702-4535 Ph: (240) 815-5798 | Ecarenow Telehealth 176 Thomas Johnson Dr Ste 203 Frederick MD 21702-4535 Ph: (301) 744-0979 |
| NPI Number | 1427604099 |
|---|---|
| Provider Enumeration Date | 08/09/2019 |
| Last Update Date | 05/11/2021 |
| Medicare PECOS PAC ID | 4587078662 |
|---|---|
| Medicare Enrollment ID | O20210201002068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427604099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Janna Mustafina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831677236 PECOS PAC ID: 4183965197 Enrollment ID: I20190401000247 |
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