| Mobile Np Llc | |
|
3927 Mcdonogh Rd Randallstown MD 21133-3633 | |
| (410) 963-5535 | |
| (410) 655-2969 |
| Full Name | Mobile Np Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3927 Mcdonogh Rd, Randallstown, Maryland |
| Authorized Official Name and Position | Veronica Annette Holland-barner (NURSE PRACTITIONER) |
| Authorized Official Contact | 4109635535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Np Llc 3927 Mcdonogh Rd Randallstown MD 21133-3633 Ph: (410) 963-5535 | Mobile Np Llc 3927 Mcdonogh Rd Randallstown MD 21133-3633 Ph: (410) 963-5535 |
| NPI Number | 1548612799 |
|---|---|
| Provider Enumeration Date | 07/11/2016 |
| Last Update Date | 07/11/2016 |
| Medicare PECOS PAC ID | 5890073340 |
|---|---|
| Medicare Enrollment ID | O20161103001205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548612799 | NPI | - | NPPES |
| 1437133873 | Other | MD | NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | R158140 (Maryland) | Primary |
| Provider Name | Veronica A Holland-barner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437133873 PECOS PAC ID: 9436332103 Enrollment ID: I20110318000265 |
| Provider Name | Gilah Speedone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083181077 PECOS PAC ID: 3971844804 Enrollment ID: I20190403000262 |
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