Provider Demographics
NPI:1235875907
Name:PRIORITY CARE NURSING LLC
Entity Type:Organization
Organization Name:PRIORITY CARE NURSING LLC
Other - Org Name:PRIORITY HEALTH CARE SYSTEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CLARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:IGWACHO
Authorized Official - Suffix:
Authorized Official - Credentials:CRPNP
Authorized Official - Phone:240-644-9706
Mailing Address - Street 1:13321 NEW HAMPSHIRE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-3450
Mailing Address - Country:US
Mailing Address - Phone:240-644-9706
Mailing Address - Fax:301-422-4933
Practice Address - Street 1:13321 NEW HAMPSHIRE AVE STE 200
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-3450
Practice Address - Country:US
Practice Address - Phone:240-644-9706
Practice Address - Fax:301-288-4339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-06
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty