Primary Care At Home
Nurse Practitioner, Family in Washington, DC. Organization (NPI-2).
NPI number1003432014
StatusActive
Last updated in NPPESFeb 5, 2022
Details
- NPI
- 1003432014
- Entity type
- Organization (NPI-2)
- Legal business name
- Primary Care At Home
- Organization subpart
- No
- Enumeration date
- Jun 25, 2020
- Certification date
- Apr 28, 2021
- Last updated
- Feb 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
5614 Connecticut Ave Nw # 286Washington, DC 20015-2604
Phone 202-870-2637 · Fax 323-334-1443
Mailing address
5614 Connecticut Ave Nw # 286Washington, DC 20015-2604
Fax 323-334-1443
Authorized official
Christina Byam
Nurse Practitioner
2026421435
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