| St. Mary's Medical Center, Llc | |
|
4701 Tripper Ln Upper Marlboro MD 20772-6038 | |
| (240) 547-8986 | |
| Not Available |
| Full Name | St. Mary's Medical Center, Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 4701 Tripper Ln, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Oluwatoyin Mary Adekeye (NURSE PRACTITIONER/CEO) |
| Authorized Official Contact | 2405478986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Mary's Medical Center, Llc 4701 Tripper Ln Upper Marlboro MD 20772-6038 Ph: (240) 547-8986 | St. Mary's Medical Center, Llc 4701 Tripper Ln Upper Marlboro MD 20772-6038 Ph: (240) 547-8986 |
| NPI Number | 1467159004 |
|---|---|
| Provider Enumeration Date | 02/14/2023 |
| Last Update Date | 03/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467159004 | NPI | - | NPPES |
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