Organization
A3 HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GODSGIFT E NYA PMHNP (PRESIDENT)
(443) 600-4202
Entity
Organization
Contact information
Practice address
1203 MARITIME CIR, ESSEX, MD 21221-6099
(443) 600-4202
Mailing address
1203 MARITIME CIR, ESSEX, MD 21221-6099
(443) 600-4202
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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