PRIMARY CARE AT HOME NPI 1003432014

NPI Information

PRIMARY CARE AT HOME is a family nurse practitioner in Washington, DC. PRIMARY CARE AT HOME NPI is 1003432014. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5614 CONNECTICUT AVE NW # 286
WASHINGTON, DC
ZIP 20015-604
Phone: (202) 870-2637
Fax: (323) 334-1443

The provider's authorized official is Christina Byam .
The authorized official title is Nurse Practitioner and has the following contact phone number (202) 642-1435.

The enumeration date for this NPI number is 6/25/2020 and was last updated on 2/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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