Individual provider · NPI-1

Julius Atemafac, Ed.D, FNP-BC

Family Medicine · Laurel, MD

NPI number1407499452
StatusActive
Last updated in NPPESFeb 2, 2022

Details

NPI
1407499452
Entity type
Individual (NPI-1)
Name
Julius Atemafac
Credential
Ed.D, FNP-BC
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 22, 2019
Certification date
Feb 2, 2022
Last updated
Feb 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineR176168MDYes
101YM0800X Counselor, Mental Health––

Practice location

13944 Baltimore Ave Ste 102
Laurel, MD 20707-5000

Phone 240-491-2868 · Fax 866-207-0983

Mailing address

713 Rexford Way
Upper Marlboro, MD 20774-8441

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