| NPI | 1730647660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA O. AKPUAKA Provider 301-708-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2020-06-11 |