Legacy Medical Clinic With Mental Health, LLC
NPI #1487272910 in Temple Hills, Maryland
Provider Information
- NPI Number
- 1487272910
- Entity Type
- Organization
- Organization Name
- Legacy Medical Clinic With Mental Health, LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Jul 10, 2020
- Last Updated
- Feb 13, 2024
Practice Location
- Address
- 4700 STAMP RD STE K
- City
- Temple Hills
- State
- Maryland
- ZIP Code
- 20748-6717
- Phone
- (301) 880-4900
Authorized Official
- Name
- CHINASA L NWAULU
- Title
- CO-OWNER
- Phone
- (301) 880-4900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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