Organization · Type 2 NPI

Integrated Medical Clinic

Family Nurse Practitioner · Lanham, MD

NPI number 1487289005 Active

Practice location

7404 Executive Pl Ste 100
Lanham, MD 20706-6237

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1487289005

Integrated Medical Clinic's National Provider Identifier is 1487289005, issued on Mar 4, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lanham, MD. The record was last updated on Dec 28, 2020.