Organization · Type 2 NPI
Dinkum Prospect LLC
Family Nurse Practitioner · Rockville, MD
NPI number
1740059476
Active
Practice location
9210 Corporate Blvd
Rockville, MD 20850-4608
Fax (240) 559-4838
Mailing address
11112 Prospect Hill Rd
Glenn Dale, MD 20769-9454
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1740059476
Dinkum Prospect LLC's National Provider Identifier is 1740059476, issued on Dec 21, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rockville, MD. The record was last updated on Apr 1, 2026.