Family Medical Wellness Center Llc | |
6020 Meadowridge Center Dr Ste U Elkridge MD 21075-7275 | |
(410) 443-0490 | |
(410) 941-4844 |
Full Name | Family Medical Wellness Center Llc |
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Speciality | Clinic/Center |
Location | 6020 Meadowridge Center Dr Ste U, Elkridge, Maryland |
Authorized Official Name and Position | Rubina Alvi (OWNER) |
Authorized Official Contact | 4104430490 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Medical Wellness Center Llc 6020 Meadowridge Center Dr Ste U Elkridge MD 21075-7275 Ph: (410) 443-0490 | Family Medical Wellness Center Llc 6020 Meadowridge Center Dr Ste U Elkridge MD 21075-7275 Ph: (410) 443-0490 |
NPI Number | 1639418783 |
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Provider Enumeration Date | 02/09/2013 |
Last Update Date | 07/05/2023 |
Medicare PECOS PAC ID | 9234375999 |
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Medicare Enrollment ID | O20130425000017 |
Identifier | Type | State | Issuer |
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1639418783 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | D0073322 (Maryland) | Primary |
Provider Name | Janna Spranza |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982695201 PECOS PAC ID: 5698741627 Enrollment ID: I20040909001073 |
Provider Name | Rubina Alvi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457537268 PECOS PAC ID: 8426195975 Enrollment ID: I20120806000788 |
Provider Name | Valerie Middleton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639453467 PECOS PAC ID: 5496998031 Enrollment ID: I20160323000981 |
Provider Name | Patricia Hayden |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851790471 PECOS PAC ID: 0042535411 Enrollment ID: I20170626001965 |
Provider Name | Effie Pinkrah Sevor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083103428 PECOS PAC ID: 7416202247 Enrollment ID: I20180620000607 |
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