Organization · Type 2 NPI
Healthy States
Family Nurse Practitioner · Upper Marlboro, MD
NPI number
1003668690
Active
Practice location
10010 Goldenwood Ct
Upper Marlboro, MD 20772-3685
Mailing address
3717 Boston St Ste 267
Baltimore, MD 21224-5752
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1003668690
Healthy States's National Provider Identifier is 1003668690, issued on Apr 5, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Upper Marlboro, MD. The record was last updated on Apr 5, 2024.