RFOM NURSE PRACTITIONER CLINIC LLC NPI 1669723961

NPI Information

NPI: 1669723961
Provider Name: RFOM NURSE PRACTITIONER CLINIC, LLC

Doing Business As: AFFORDABLE HEALTHCARE NURSE PRACTITIONER CLINIC

Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
8238 GEORGIA AVE
SILVER SPRING, MD
ZIP 20910
Phone: (240) 447-3204
Get Directions

RFOM NURSE PRACTITIONER CLINIC, LLC is an adult health nurse practitioner in Silver Spring, MD. RFOM NURSE PRACTITIONER CLINIC, LLC NPI is 1669723961. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Affordable Healthcare Nurse Practitioner Clinic.

The provider's business location address is:

8238 GEORGIA AVE
SILVER SPRING, MD
ZIP 20910-516
Phone: (240) 447-3204
Fax: (301) 587-3204

The provider's authorized official is Stella K Jefferies .
The authorized official title is Ceo and has the following contact phone number (240) 447-3204.

The enumeration date for this NPI number is 9/26/2012 and was last updated on 9/26/2012.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	R161889	MARYLAND	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	050213800	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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