Individual provider · Type 1 NPI
Mohamed Bundu
Psychiatric/Mental Health Nurse Practitioner · Washington, DC
NPI number
1376917385
Active
Practice location
50 Irving St NW
Washington, DC 20422-3317
Mailing address
2602 Rose Mount Ln
Bowie, MD 20721-1878
Other practice locations
- 200 I St SE, Washington, DC 20003-3317 · (202) 484-6242
- 1000 Mt Olivet Rd NE, Washington, DC 20002-2210 · (202) 576-8388
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | R174442 (MD) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 174442 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1376917385
Mohamed Bundu's National Provider Identifier is 1376917385, issued on Nov 15, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Washington, DC. The record was last updated on Jan 13, 2020.