Organization · Type 2 NPI

Old Greenbelt Family Health

Family Nurse Practitioner · Greenbelt, MD

NPI number 1174331243 Active

Practice location

115 Centerway Ste 104
Greenbelt, MD 20770-1836

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

2 other providers at this address

Old Greenbelt Family HealthFamily Nurse Practitioner Greenbelt, MD NPI 1760157713
Nora Eve Sullivan, APRNFamily Nurse Practitioner Greenbelt, MD NPI 1043916612

Other family nurse practitioner providers in Greenbelt

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NPI record

NPI: 1174331243
Entity type: Organization (Type 2)
Issued: Dec 20, 2024
Last updated: Dec 20, 2024
Status: Active
Subpart: Yes of Old Greenbelt Family Health

Other names

Old Green Belt Family Health · doing business as
Old Greenbelt Family Health · doing business as

Authorized official

Julia Gabriel, NP
Owner
(240) 670-7156

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174331243

Old Greenbelt Family Health's National Provider Identifier is 1174331243, issued on Dec 20, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Greenbelt, MD. The record was last updated on Dec 20, 2024.