Organization
EVERGREEN CARE SOLUTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAKU ANIKE NP (PRESIDENT)
(617) 379-0496
Entity
Organization
Contact information
Practice address
325 ELLINGTON BLVD # 117, GAITHERSBURG, MD 20878-4591
(336) 254-4619
Mailing address
325 ELLINGTON BLVD # 117, GAITHERSBURG, MD 20878-4591
(617) 379-0496
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/05/2022
Last updated
01/27/2023
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