BOWIE STATE UNIVERSITY
Organization (NPI-2)
Active
Nurse Practitioner, Adult Health
Provider Information
- NPI Number
1154888048- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 14000 JERICHO PARK ROAD HENRY WISE WELLNESS CENTER, CMRC, LOWER LEVEL, BOWIE, MD, 20715
- Phone
- (301) 860-4170
- Fax
- (601) 860-4179
Specialties & Taxonomies
Phlebology
Internal Medicine
Nurse Practitioner, Obstetrics & Gynecology
Nurse Practitioner, Adult Health
Primary
All Addresses
LOCATION
14000 JERICHO PARK ROAD HENRY WISE WELLNESS CENTER, CMRC, LOWER LEVEL
BOWIE, MD, 20715
MAILING
14000 JERICHO PARK ROAD HENRY WISE WELLNESS CENTER, CMRC, LOWER LEVEL
BOWIE, MD, 20715