Beth Abate Nurse Practitioner LLC
Nurse Practitioner, Adult Health in Laurel, MD. Organization (NPI-2).
NPI number1427326321
StatusActive
Last updated in NPPESSep 21, 2022
Details
- NPI
- 1427326321
- Entity type
- Organization (NPI-2)
- Legal business name
- Beth Abate Nurse Practitioner LLC
- Organization subpart
- No
- Enumeration date
- Dec 6, 2011
- Certification date
- Sep 21, 2022
- Last updated
- Sep 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | – | – | Yes |
| 207QG0300X | Family Medicine, Geriatric Medicine | – | – | |
| 363LA2200X | Nurse Practitioner, Adult Health | RN965723 | DC | |
| 363LG0600X | Nurse Practitioner, Gerontology | – | – |
Practice location
6910 Mayfair RdLaurel, MD 20707-5237
Phone 240-447-9995 · Fax 240-363-0063
Mailing address
14625 Baltimore Ave Ste 465Laurel, MD 20707-4902
Phone 240-447-9995 · Fax 301-776-0087
Authorized official
Betelehem Abate
Owner
2404479995
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