Individual
FIDELIS NDUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9003 BRIGHTLEA CT, LANHAM, MD 20706-2844
(240) 929-7191
Mailing address
9003 BRIGHTLEA CT, LANHAM, MD 20706-2844
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14264
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA14264
—
DC
Enumeration date
02/07/2019
Last updated
02/07/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us