ZZIWA ADULT CLINICAL PRACTICE PC


Address: 803 Joshua Tree Ct, Owings Mills, MD 21117-1721
Phone: 4435220383

ZZIWA ADULT CLINICAL PRACTICE PC (NPI# 1831567890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831567890
Entity Type Organization
Organization Name ZZIWA ADULT CLINICAL PRACTICE PC
Other Organization Name Z-ADULT CLINICAL PRACTICE
Practice Address 803 Joshua Tree Ct
Owings Mills
MD 21117-1721
Practice Telephone 4435220383
Mailing Telephone 4435220383
Enumeration Date 2015-09-08
Last Update Date 2015-10-07
Authorized Official Name MS. IRYNE ZZIWA-KABENGE (DIRECTOR)
Authorized Official Telephone 4435220383
Authorized Official Credential MSN, CRNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
R133308 MD Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MD MEDICARE 231502YXU 01
MD 049292200 05

Other Provider/Organization Names

Other Name Type Code
Z-Adult Clinical Practice Doing Business As Name - Organization

Office Location

Street Address 803 JOSHUA TREE CT
City OWINGS MILLS
State MD
Zip Code 21117-1721

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1174073910 Camelle Redding, Crnp,llc Clinic/Center 9902 Linden Hill Rd, Suite B, Owings Mills, MD 21117-6152 2016-10-05

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Competitor

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City OWINGS MILLS
Zip Code 21117

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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