Organization
AMAZING HEALTHCARE CLINIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOSEDE M ADELEYE (PMHNP)
(301) 512-9449
Entity
Organization
Contact information
Practice address
6495 NEW HAMPSHIRE AVE STE 203, HYATTSVILLE, MD 20783-3286
(301) 798-5583
(301) 798-6260
Mailing address
10903 N RIDING RD, UPPER MARLBORO, MD 20772-8398
(301) 512-9449
(301) 798-6260
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
03/19/2021
Last updated
04/29/2024
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