Nurses Staffing Nurses Llc | |
7905 Malcolm Rd Ste 205 Clinton MD 20735-1749 | |
(301) 355-0223 | |
(301) 971-4997 |
Full Name | Nurses Staffing Nurses Llc |
---|---|
Speciality | Clinic/Center |
Location | 7905 Malcolm Rd Ste 205, Clinton, Maryland |
Authorized Official Name and Position | Niambi Renee Hogans (NP/OWNER) |
Authorized Official Contact | 3013550223 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Nurses Staffing Nurses Llc 13401 Pendleton St Fort Washington MD 20744-5420 Ph: (609) 214-7882 | Nurses Staffing Nurses Llc 7905 Malcolm Rd Ste 205 Clinton MD 20735-1749 Ph: (301) 355-0223 |
NPI Number | 1902512577 |
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Provider Enumeration Date | 01/26/2023 |
Last Update Date | 01/26/2023 |
Medicare PECOS PAC ID | 8921465766 |
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Medicare Enrollment ID | O20230609000032 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902512577 | NPI | - | NPPES |
299111000 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Niambi Renee Hogans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720725534 PECOS PAC ID: 5193103810 Enrollment ID: I20220608000494 |
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