# VASTCARE MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VASTCARE MEDICAL CLINIC, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356951198
- **Authorized official:** DR. STELLA OBIANUJU AKPUAKA DNP, FNP-BC, PMHNP-B (NP PROVIDER)
- **Authorized official phone:** (301) 708-0100

## Contact information

- **Practice address:** 9470 ANNAPOLIS RD STE 115, LANHAM, MD 20706-3025
- **Practice address phone:** (301) 708-0100
- **Practice address fax:** (301) 708-0101
- **Mailing address:** 9470 ANNAPOLIS RD STE 115, LANHAM, MD 20706-3025
- **Mailing address phone:** (301) 708-0100
- **Mailing address fax:** (301) 708-0101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/06/2020
- **Last updated:** 08/06/2020