# DYNMED PRIMARY CARE AND WELLNESS P. A

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DYNMED PRIMARY CARE AND WELLNESS P. A
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407528862
- **Legal business name:** DYNMED PRIMARY CARE AND WELLNESS P. A
- **Authorized official:** MRS. EKOP GRAHAM NP (DIRECTOR)
- **Authorized official phone:** (301) 526-1004

## Contact information

- **Practice address:** 6510 KENILWORTH AVE STE 2700, RIVERDALE, MD 20737-1353
- **Practice address phone:** (301) 526-1004
- **Mailing address:** 6510 KENILWORTH AVE STE 2700, RIVERDALE, MD 20737-1353
- **Mailing address phone:** (301) 526-1004

## 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:** 10/04/2021
- **Last updated:** 10/04/2021