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 |