Provider Demographics
NPI:1609684224
Name:MAICARE CONSULTING, LLC
Entity type:Organization
Organization Name:MAICARE CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERNICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:EDMOND
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:240-310-9289
Mailing Address - Street 1:2490 MARKET ST NE STE 603
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-3851
Mailing Address - Country:US
Mailing Address - Phone:240-310-9289
Mailing Address - Fax:202-221-3033
Practice Address - Street 1:16701 MELFORD BLVD STE 400
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-4411
Practice Address - Country:US
Practice Address - Phone:240-310-9289
Practice Address - Fax:202-221-3033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-28
Last Update Date:2024-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine