=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306717863
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | INASA HEALTHCARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/16/2025
-----------------------------------------------------
Last Update Date | 09/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5450 REISTERSTOWN RD STE 204
-----------------------------------------------------
City | BALTIMORE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21215-4436
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-631-3354
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12A SAINT THOMAS LN
-----------------------------------------------------
City | OWINGS MILLS
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21117-3848
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-631-3354
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | CHINASA ONYEJE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 443-631-3354
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------