| NPI | 1306335112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D-ANN WELLER ROSS President 240-299-5308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9371233) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2019-06-10 |