Individual provider · NPI-1

Meheza Adja-Poroky

Nurse Practitioner, Family · Bowie, MD

NPI number1154868461
StatusActive
Last updated in NPPESNov 8, 2024

Details

NPI
1154868461
Entity type
Individual (NPI-1)
Name
Meheza Adja-Poroky
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 24, 2017
Certification date
Nov 8, 2024
Last updated
Nov 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family184641MDYes

Practice location

4201 Northview Dr
Suite 410
Bowie, MD 20716-2604

Phone 202-681-9661

Mailing address

4201 Northview Dr
Suite 410
Bowie, MD 20716-2604

Phone 202-681-9661

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