| NPI | 1841892197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARDDHY BULANADI RODRIGUEZ CEO 240-354-4087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207R00000X Internal Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2021-02-03 |