FNP-BC VIP CONCIERGE LLC NPI 1558832949

NPI Information

NPI: 1558832949
Provider Name: FNP-BC VIP CONCIERGE, LLC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Doing Business As: NP-VIP CONCIERGE SVC, LLC
Address: 6178 OXON HILL RD STE 300
OXON HILL, MD
ZIP 20745
Phone: (240) 547-9114

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NPI Details

FNP-BC VIP CONCIERGE, LLC is a primary care clinic center in Oxon Hill, MD. FNP-BC VIP CONCIERGE, LLC NPI is 1558832949. The provider is registered as an organization entity type.
The provider Is Doing Business As Np-vip Concierge Svc, Llc.

The provider's business location address is:

6178 OXON HILL RD STE 300
OXON HILL, MD
ZIP 20745-123
Phone: (240) 547-9114
Fax: (240) 209-0570

The provider's authorized official is Maurice Devon Graham .
The authorized official title is Chief Executive Officer and has the following contact phone number (240) 210-5520.

The enumeration date for this NPI number is 12/10/2018 and was last updated on 3/6/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			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	1073965380	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: 11/21/2025

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