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NPI Code Detail

MEDICARE: REALITYCARE HEALTH SERVICES

MEDICARE: REALITYCARE HEALTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1811644008
Entity Type Code : Organization
Provider Name (Legal Business Name) : REALITYCARE HEALTH SERVICES
Provider Business Mailing Address
First Line : 3220 RIDGEWAY PL
Second Line :
City : WINDSOR MILL
State : MD
Zip : 21244-1021
Country : US
Telephone Number : 443-772-5454
Fax Number : 410-496-4171
Provider Business Practice Location Address
First Line : 516 N ROLLING RD STE 305
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-4142
Country : US
Telephone Number : 443-772-5454
Fax Number : 410-496-4171
Authorized Official
Title or Position : OWNER
Name : GLORIA NNAH
Credential :
Telephone Number : 443-772-5454
Provider Enumeration Date : 03/07/2022
Last Update Date : 04/17/2026

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Directions to “REALITYCARE HEALTH SERVICES ” Practice Location

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