Organization
NOVA FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CHENWE AKANO NP (NURSE PRACTITIONER)
(410) 444-4751
Entity
Organization
Contact information
Practice address
6018 HARFORD RD, BALTIMORE, MD 21214-1327
(443) 570-2706
Mailing address
6018 HARFORD RD, BALTIMORE, MD 21214-1327
(443) 570-2706
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487208740
FAMILY PRACTICE
MD
Enumeration date
09/13/2021
Last updated
09/01/2022
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