IUDOK PREMOE PNP NPI 1508915554

NPI Information

  • NPI: 1508915554
  • Provider Name: IUDOK PREMOE, PNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 1050 W PERIMETER RD
    PEDIATRIC CLINIC
    ANDREWS AFB, MD
    ZIP 20762
  • Phone: (240) 857-2723

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NPI Details

Iudok Premoe, PNP is a pediatrics nurse practitioner in Andrews Afb, MD. Iudok Premoe, PNP NPI is 1508915554. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1050 W PERIMETER RD
PEDIATRIC CLINIC
ANDREWS AFB, MD
ZIP 20762-601
Phone: (240) 857-2723
Fax: (240) 857-6263

The enumeration date for this NPI number is 1/9/2007 and was last updated on 7/8/2007.

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
1363LP0200XNurse PractitionerPediatricsR114085MARYLANDYes

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: 11/21/2025

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