Organization · Type 2 NPI

PHS Care Center

Nurse Practitioner · Washington, DC

NPI number 1083878730 Active

Practice location

1150 Varnum St NE, Suite 201
Washington, DC 20017-2104

Fax (202) 269-7825

Mailing address

1160 Varnum St NE, St Catherine's Hall, Room 102
Washington, DC 20017-2107

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Nurse Practitioner Primary 363L00000XHFD01-0212 (DC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1083878730

PHS Care Center's National Provider Identifier is 1083878730, issued on Jul 11, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Washington, DC. The record was last updated on Jun 7, 2017.