# E & T HEALTHCARE ENTERPRISE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** E & T HEALTHCARE ENTERPRISE, N/A
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538687140
- **Authorized official:** MISS EVELINE NTUI TAKANG CRNP (NURSE PRACTITIONER)
- **Authorized official phone:** (240) 264-9698

## Contact information

- **Practice address:** 8113 HARTFORD ROAD, BALTIMORE, MD 21234
- **Practice address phone:** (410) 882-4800
- **Practice address fax:** (410) 882-6667
- **Mailing address:** 12904 NORTHAMPTON DR, BELTSVILLE, MD 20705
- **Mailing address phone:** (240) 264-9698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | R167174 | MD | Yes |

## Other

- **Enumeration date:** 09/04/2017
- **Last updated:** 06/16/2018