Organization
NP CONSULTANT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAVERSHIMA ASOM NURSE PRACTITIONER (NURSE PRACTITIONER)
(410) 552-8885
Entity
Organization
Contact information
Practice address
7341 ARGONNE DR, MARRIOTTSVILLE, MD 21104-1074
(410) 552-8885
Mailing address
7341 ARGONNE DR, MARRIOTTSVILLE, MD 21104-1074
(410) 552-8885
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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