Mr. Shailendra Swarup, CRNP-PMH
Mr. Shailendra Swarup, CRNP-PMH is a Nurse Practitioner in Lanham, Maryland. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Maryland.
- Years since qualifying
- 4
- Licensed in
- MD
- In the registry since
- 2023
- Specialties on file
- 3
Practice location Address checks out
4500 Forbes Blvd Ste 200Lanham, MD 20706-6316
Phone: (866) 384-8110
Fax: (301) 560-8244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence R193356 (MD) |
|---|---|
| Psychiatry Physician | Taxonomy 2084P0800X · Licence R193356 (MD) |
| Geriatric Psychiatry Physician | Taxonomy 2084P0805X · Licence R193356 (MD) |
Record details
| NPI number | 1740971761 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CRNP-PMH |
| Sole proprietor | Yes |
| NPI enumerated | May 19, 2023 |
| Last updated in NPPES | May 19, 2023 |
| Certification date | May 19, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
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Maryland Wellness LLC
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Dr. Theodore C Osuala, MD
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Dr. Datrell Ward, MD
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