Nova Family Clinic | |
6018 Harford Rd Baltimore MD 21214-1327 | |
(443) 570-2706 | |
Not Available |
Full Name | Nova Family Clinic |
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Speciality | Clinic/Center |
Location | 6018 Harford Rd, Baltimore, Maryland |
Authorized Official Name and Position | Elizabeth Chenwe Akano (NURSE PRACTITIONER) |
Authorized Official Contact | 4104444751 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nova Family Clinic 6018 Harford Rd Baltimore MD 21214-1327 Ph: (443) 570-2706 | Nova Family Clinic 6018 Harford Rd Baltimore MD 21214-1327 Ph: (443) 570-2706 |
NPI Number | 1811666704 |
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Provider Enumeration Date | 09/13/2021 |
Last Update Date | 09/01/2022 |
Medicare PECOS PAC ID | 9032509559 |
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Medicare Enrollment ID | O20211124000064 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811666704 | NPI | - | NPPES |
1487208740 | Other | MD | FAMILY PRACTICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Elizabeth Chinwe Akano |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487208740 PECOS PAC ID: 2860828977 Enrollment ID: I20200210001547 |
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