Individual provider · Type 1 NPI
Daisuke Matsuo
Family Nurse Practitioner · Fort Meade, MD
NPI number
1992290951
Active
Practice location
2480 Llewellyn Ave
Fort Meade, MD 20755-7081
Mailing address
Usameddac 2480 Llewellyn Ave
Fort Meade, MD 20755-4031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R191414 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1992290951
Daisuke Matsuo's National Provider Identifier is 1992290951, issued on Jun 22, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Meade, MD. The record was last updated on Nov 27, 2024.