Lylian Anje Mukoro, CRNP
Nurse Practitioner, Family in North Potomac, MD. Individual provider (NPI-1).
NPI number1669979746
StatusActive
Last updated in NPPESApr 6, 2018
Details
- NPI
- 1669979746
- Entity type
- Individual (NPI-1)
- Name
- Lylian Anje Mukoro
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 6, 2018
- Last updated
- Apr 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R159823 | MD | Yes |
Practice location
17809 Stoneridge DrNorth Potomac, MD 20878-1019
Phone 301-675-0577
Mailing address
17809 Stoneridge DrNorth Potomac, MD 20878-1019
Phone 301-675-0577
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