# BETH ABATE NURSE PRACTITIONER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427326321
- **Authorized official:** BETELEHEM ABATE APRN (OWNER)
- **Authorized official phone:** (240) 447-9995

## Contact information

- **Practice address:** 6910 MAYFAIR RD, LAUREL, MD 20707-5237
- **Practice address phone:** (240) 447-9995
- **Practice address fax:** (240) 363-0063
- **Mailing address:** 14625 BALTIMORE AVE STE 465, LAUREL, MD 20707-4902
- **Mailing address phone:** (240) 447-9995
- **Mailing address fax:** (301) 776-0087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | RN965723 | DC | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/06/2011
- **Last updated:** 09/21/2022