NPI | 1023729076 |
---|---|
Entity Type | Organization |
Authorized Contact | ESABELLA TEBID MBAH Np 202-257-2130 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2022-12-12 |
Last Update Date | 2024-03-14 |