Provider Demographics
NPI:1720606676
Name:WE CARE CLINIC
Entity Type:Organization
Organization Name:WE CARE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:HAVEN
Authorized Official - Last Name:VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:410-924-7879
Mailing Address - Street 1:656 KIMBERLY WAY
Mailing Address - Street 2:
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21666-2400
Mailing Address - Country:US
Mailing Address - Phone:410-924-7879
Mailing Address - Fax:833-450-1535
Practice Address - Street 1:9 CHESTER PLZ
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:MD
Practice Address - Zip Code:21619-2418
Practice Address - Country:US
Practice Address - Phone:410-417-7709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care