Ketaminds

LBN: Ianua Health, Llc
Ketaminds is an health care organization with primary practice located at 14 Rogers Rd Ste 211 , North East MD 21901-3612. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Ianua Health, Llc can be contacted via phone (410) 280-7683, or through Pedulla, Antonio via phone (610) 998-3902.

Contact Information

Primary practice address
14 Rogers Rd Ste 211 North East MD 21901-3612
Phone: (410) 280-7683
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pedulla, Antonio Family Nurse Practitioner (FNP)
Phone: (610) 998-3902

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1033853213
LBN Legal business name Ianua Health, Llc
DBA Doing business as Ketaminds
Authorized official Pedulla, Antonio Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2022
Last updated May 17th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers