Provider Demographics
NPI:1003674334
Name:NZE PRIMARY CARE
Entity Type:Organization
Organization Name:NZE PRIMARY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNP
Authorized Official - Prefix:
Authorized Official - First Name:UCHECHI
Authorized Official - Middle Name:
Authorized Official - Last Name:NZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-226-8325
Mailing Address - Street 1:7801 YORK RD STE 100
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7447
Mailing Address - Country:US
Mailing Address - Phone:410-494-0131
Mailing Address - Fax:410-825-2764
Practice Address - Street 1:7801 YORK RD STE 100
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7447
Practice Address - Country:US
Practice Address - Phone:410-494-0131
Practice Address - Fax:410-825-2764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care