| NPI | 1669037008 |
|---|---|
| Doing Business As | PROACTIVE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | DENNIS DANIEL DEY Owner 240-362-7025 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2020-12-11 |