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Organization
ICON MEDICINE
Active
Organization
ICON MEDICINE
Active
Other names
INNOVATIVE CARE OPTIONS NETWORK
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY NYAKANGO ONSERIO DNP,APRN,FNP,CRNP (CLINICAL DIRECTOR)
(240) 966-4266
Entity
Organization
Contact information
Practice address
7411 RIGGS RD STE 300B, HYATTSVILLE, MD 20783-4246
(240) 966-4266
(301) 235-1771
Mailing address
10770 COLUMBIA PIKE STE 300-1021, SILVER SPRING, MD 20901-4402
(240) 966-4266
(301) 235-1771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
—
NULL
Other
Enumeration date
01/24/2023
Last updated
02/24/2025
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