Organization
WANNA PCP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MESFIN WANNA AGNP (OWNER)
(571) 645-6767
Entity
Organization
Contact information
Practice address
438 NORTHWEST DR, SILVER SPRING, MD 20901-4417
(571) 645-6767
Mailing address
438 NORTHWEST DR, SILVER SPRING, MD 20901-4417
(571) 645-6767
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/12/2025
Last updated
07/12/2025
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