CHASLY MEDICAL CLINIC LLC
NPI 1508660762
Nurse Practitioner - Family in Bowie, MD
Active since April 04, 2025
About Chasly Medical Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHASLY MEDICAL CLINIC LLC (NPI 1508660762) is a healthcare organization registered as a family in Bowie, Maryland and active in the NPI registry since April 2025. The organization lists Lucy Ekassi, Owner, as its authorized official.
NPPES Registry Identity
NPI1508660762
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCHASLY MEDICAL CLINIC LLC
Location Address13213 5TH STBowie, MD 20720-3609
Mailing Address13213 5th StBowie, MD 20720-3609 · (301) 806-6986
Phone(301) 806-6986
Organization SubpartNo
Authorized OfficialLucy EkassiOwner · (301) 806-6986
Enumeration DateApril 4, 2025
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1508660762 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
13213 5TH ST, Bowie, MD 20720
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508660762, enumerated as an "organization" on April 04, 2025.
The provider is located at 13213 5TH ST BOWIE, MD 20720 and the phone number is (301) 806-6986.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
