# AMERICARE NUCMED CLINIC & GENERAL PRACTICE LLC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700680444
- **Authorized official:** NANA VINCENT (MANAGER)
- **Authorized official phone:** (240) 424-9615

## Contact information

- **Practice address:** 3301 WOODBURN RD STE 102, ANNANDALE, VA 22003-6889
- **Practice address phone:** (703) 894-0009
- **Mailing address:** 3301 WOODBURN RD STE 102, ANNANDALE, VA 22003-6889
- **Mailing address phone:** (703) 894-0009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207U00000X | Nuclear Medicine Physician | — | NULL | — |
| 207U00000X | Nuclear Medicine Physician | — | — | — |
| 2085N0904X | Nuclear Radiology Physician | — | NULL | — |
| 2085N0904X | Nuclear Radiology Physician | — | — | — |

## Other

- **Enumeration date:** 04/02/2025
- **Last updated:** 04/21/2025