| NPI | 1487252714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAN MBI Fnp 240-644-2502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QU0200X Clinic/Center, Urgent Care | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2022-08-02 |