| NPI | 1013470772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NNEGADI TATAW CEO 240-425-2762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2023-10-31 |