# AMAZING HEALTHCARE CLINIC CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245816388
- **Authorized official:** BOSEDE M ADELEYE (PMHNP)
- **Authorized official phone:** (301) 512-9449

## Contact information

- **Practice address:** 6495 NEW HAMPSHIRE AVE STE 203, HYATTSVILLE, MD 20783-3286
- **Practice address phone:** (301) 798-5583
- **Practice address fax:** (301) 798-6260
- **Mailing address:** 10903 N RIDING RD, UPPER MARLBORO, MD 20772-8398
- **Mailing address phone:** (301) 512-9449
- **Mailing address fax:** (301) 798-6260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/19/2021
- **Last updated:** 04/29/2024