| NPI | 1801641477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN GARDNER President & CEO 301-928-4725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LG0600X Nurse Practitioner Gerontology | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-04-18 |