NUGAHEALTH PRIMARY CARE LLC is a clinic center in Waldorf, MD. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). NUGAHEALTH PRIMARY CARE LLC NPI is 1053959411. The provider is registered as an organization entity type.
The provider's business location address is:
11636 PORT ROYAL AVE
WALDORF, MD
ZIP 20602-193
Phone: (240) 755-1452
The provider's authorized official is Omobolanle M Adenuga .
The authorized official title is Nurse Practitioner and has the following contact phone number (240) 755-1452.
The CLIA number assigned to this NPI record is 21D2267591 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/17/2019 and was last updated on 12/17/2019.