Angel Eye Medical LLC
Nurse Practitioner, Family in Silver Spring, MD. Organization (NPI-2).
NPI number1225733181
StatusActive
Last updated in NPPESNov 28, 2023
Details
- NPI
- 1225733181
- Entity type
- Organization (NPI-2)
- Legal business name
- Angel Eye Medical LLC
- Organization subpart
- No
- Enumeration date
- Mar 31, 2023
- Certification date
- Nov 28, 2023
- Last updated
- Nov 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
1738 Elton Rd Ste 316Silver Spring, MD 20903-1725
Phone 443-525-7803
Mailing address
9101 Cherry Ln Ste 111Laurel, MD 20708-1150
Phone 443-525-7803
Authorized official
Kenderlate Arthus
Owner
4435257803
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