| NPI | 1891329470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN GARDNER President & CEO 301-928-4725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 310400000X Assisted Living Facility | |
| 314000000X Skilled Nursing Facility | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2020-02-23 |
| Last Update Date | 2024-05-14 |