DIVERSITY HEALTH CLINIC LLC NPI 1780286732

NPI Information

DIVERSITY HEALTH CLINIC, LLC is a primary care nurse practitioner in Silver Spring, MD. DIVERSITY HEALTH CLINIC, LLC NPI is 1780286732. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15101 CENTERGATE DR
SILVER SPRING, MD
ZIP 20905-714
Phone: (301) 793-4761
Fax: (800) 519-7417

The provider's authorized official is Akukeng W. Mba .
The authorized official title is Nurse Practitioner and has the following contact phone number (301) 793-4761.

The enumeration date for this NPI number is 11/13/2020 and was last updated on 11/13/2020.

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:

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