AVAESEN HEALTHCARE INC NPI 1013651306

NPI Information

NPI: 1013651306
Provider Name: AVAESEN HEALTHCARE INC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
5100 BUCKEYSTOWN PIKE STE 250
FREDERICK, MD
ZIP 21704
Phone: (443) 692-7241
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AVAESEN HEALTHCARE INC is a psychiatric/mental health nurse practitioner in Frederick, MD. AVAESEN HEALTHCARE INC NPI is 1013651306. The provider is registered as an organization entity type.

The provider's business location address is:

5100 BUCKEYSTOWN PIKE STE 250
FREDERICK, MD
ZIP 21704-344
Phone: (443) 692-7241
Fax: (800) 571-0474

The provider's authorized official is Felicia Dalphine Bailey .
The authorized official title is Chief Executive Officer and has the following contact phone number (443) 692-7241.

The enumeration date for this NPI number is 4/23/2022 and was last updated on 4/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	667070900	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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