| NPI | 1982310264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA C ANAELE-NWOGU Nurse Practitioner 301-356-3548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-01-30 |