Individual provider · Type 1 NPI

Eleanor Dzodzomenyo, CRNP, FNP-BC

Nurse Practitioner · Germantown, MD

NPI number 1942920202 Active

Practice location

12800 Middlebrook Rd Ste 400
Germantown, MD 20874-5282

Call (301) 515-2901 Map

Mailing address

20410 Observation Dr Ste 100
Germantown, MD 20876-6419

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR205405 (MD)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1942920202

Eleanor Dzodzomenyo, CRNP, FNP-BC's National Provider Identifier is 1942920202, issued on Aug 29, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Germantown, MD. The record was last updated on Sep 21, 2026.