| NPI | 1649760075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY E ARKHURST Secretary 301-613-0529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: MD R190895) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2021-02-01 |