Organization
EPEC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEKEYA HUTTON CRNP (OWNER)
(443) 924-5945
Entity
Organization
Contact information
Practice address
9106 PHILADELPHIA RD STE 106, ROSEDALE, MD 21237-4335
(443) 559-8354
Mailing address
9106 PHILADELPHIA RD STE 106, ROSEDALE, MD 21237-4335
(443) 559-8354
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152013000
—
MD
Enumeration date
01/28/2022
Last updated
07/25/2025
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