Organization
ASTERA MEDICAL CLINIC LLC
Active
Other names
hans formum enow
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HANS FORMUM FRANK ENOW CRNP (NP/PROVIDER)
(240) 755-1953
Entity
Organization
Contact information
Practice address
7725 BELLE POINT DR # 2, GREENBELT, MD 20770-3300
(240) 755-1953
Mailing address
8320 FINCHLEIGH ST, LAUREL, MD 20724-1973
(124) 075-5195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/29/2021
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