# FIRST RESPONSE DOCTORS CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lum Mercy Maximuangu
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861242067
- **Authorized official:** DR. LUM MERCY MAXIMUANGU BC-NP (CHIEF MEDICAL OFFICER, BC-NP)
- **Authorized official phone:** (240) 604-2949

## Contact information

- **Practice address:** 11303 AMHERST AVE STE 2, SILVER SPRING, MD 20902-4600
- **Practice address phone:** (240) 604-2949
- **Mailing address:** 3214 BIRCHMEDE DR, ELLICOTT CITY, MD 21042-2302
- **Mailing address phone:** (240) 604-2949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | — | NULL | — |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | NULL | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2024
- **Last updated:** 03/22/2024