Organization
CHEVERLY PRIMARY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON ANDERSON DNP, CRNP (PRESIDENT)
(301) 919-5316
Entity
Organization
Contact information
Practice address
6490 LANDOVER RD STE G, CHEVERLY, MD 20785
(301) 322-8000
(301) 322-1757
Mailing address
6490 LANDOVER RD STE G, CHEVERLY, MD 20785-1443
(301) 322-8000
(301) 322-1757
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R135181
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NONE
—
01
—
NONE
NONE
—
Enumeration date
09/08/2017
Last updated
06/16/2018
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