Ninna Nana
Ninna Nana is a Physician Assistant in Glen Burnie, Maryland. Qualified in 2021, 5 years ago. Practices with Lifebridge Community Gastroenterology LLC, a 56-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 5
- Licensed in
- MD
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
804 Landmark Dr Ste 118Glen Burnie, MD 21061-4486
Phone: (410) 863-4899
Fax: (443) 873-2454
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 4350 Us 421 S, Lillington, NC 27546-6760 — (910) 893-1210
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence C08151 (MD) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1114511797 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 24, 2021 |
| Last updated in NPPES | January 16, 2024 |
| Certification date | January 16, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Lifebridge Community Gastroenterology Llc — 56 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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