Individual provider · Type 1 NPI
Nautica King
Psychiatric/Mental Health Registered Nurse · La Plata, MD
NPI number
1619748688
Active
Practice location
5 Garrett Ave
La Plata, MD 20646-5960
Mailing address
11117 Canter Cir
Upper Marlboro, MD 20772-8357
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R258768 (MD) |
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | RN500016537 (DC) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1619748688
Nautica King's National Provider Identifier is 1619748688, issued on Jan 9, 2024. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in La Plata, MD. The record was last updated on Sep 4, 2024.