| NPI | 1679096002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERISE RENEE HAGANS Owner/Nurse Practitioner 240-412-5093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R161898) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2022-07-21 |