Organization
POA SANA HEALTHCARE SERVICES & CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE P KUTSUSHI (PSYCHIATRY NURSE PRACTITIONER)
(202) 489-6118
Entity
Organization
Contact information
Practice address
2 POST OFFICE RD STE 4A, WALDORF, MD 20602-2726
(202) 489-6118
Mailing address
9497 PEP RALLY LN, WALDORF, MD 20603-3898
(202) 489-6118
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/22/2024
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