Organization
PEACE HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA BENEWAAH (AUTHORIZED OFFICIAL)
(443) 687-9135
Entity
Organization
Contact information
Practice address
8203 HARFORD RD, PARKVILLE, MD 21234-5888
(410) 499-4707
Mailing address
8116 HARFORD RD STE B, PARKVILLE, MD 21234-5761
(410) 499-4707
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
641209200
—
MD
Enumeration date
07/30/2020
Last updated
01/15/2023
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