Individual ProviderMaria Harrison-NwachukwuNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9103 Woodmore Center Dr # 412, Lanham, MD 20706-1653(240) 361-9242PECOS EnrollmentBased on the most recent information from CMS, provider Maria Harrison-Nwachukwu is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1477014538Provider TypeIndividualFull NameHarrison-Nwachukwu, MariaGenderFemaleSole ProprietorYesEnumeration Date3/29/2019Last Updated1/5/2022Contact InformationPractice LocationPractice Address9103 Woodmore Center Dr # 412, Lanham, MD 20706-1653Phone(240) 361-9242FaxUnlisted FaxMailing LocationMailing Address9103 Woodmore Center Dr # 412, Lanham, MD 20706-1653PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR200532Maryland