Organization · Type 2 NPI
Blossom Primary Care Services LLC
Psychiatric/Mental Health Nurse Practitioner · Washington, DC
NPI number
1568375822
Active
Practice location
3849 Pennsylvania Ave SE
Washington, DC 20020-1309
Mailing address
12113 Sand Wedge Ln
Upper Marlboro, MD 20772-7973
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1568375822
Blossom Primary Care Services LLC's National Provider Identifier is 1568375822, issued on Sep 25, 2026. 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 Sep 25, 2026.