Organization
SERAPHIC PRIMARY AND MENTAL HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA C ANAELE-NWOGU DNP AGNP, PMHNP (NURSE PRACTITIONER)
(301) 356-3548
Entity
Organization
Contact information
Practice address
4622 DOCTOR BEANS LEGACY CIR, BOWIE, MD 20720-6386
(301) 356-3548
Mailing address
4622 DOCTOR BEANS LEGACY CIR, BOWIE, MD 20720-6386
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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