FARA MEDICAL SERVICES LLC NPI 1548910060

NPI Information

NPI: 1548910060
Provider Name: FARA MEDICAL SERVICES LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
6525 KENOVA ST
DISTRICT HEIGHTS, MD
ZIP 20747
Phone: (240) 606-9176
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FARA MEDICAL SERVICES LLC is a psychiatric/mental health nurse practitioner in District Heights, MD. FARA MEDICAL SERVICES LLC NPI is 1548910060. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6525 KENOVA ST
DISTRICT HEIGHTS, MD
ZIP 20747-835
Phone: (240) 606-9176

The provider's authorized official is Faramade Eruanga .
The authorized official title is Medical Director and has the following contact phone number (240) 606-9176.

The enumeration date for this NPI number is 3/27/2022 and was last updated on 3/27/2022.

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	363LF0000X	Nurse Practitioner	Family			No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

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: 5/5/2024

NPI Synchronization or Removal

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