Organization
WASHINGTON MEDICAL CLINIC, LLC
Active
Other names
Washington Medical Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH N. OBI NURSE PRACTITIONER (PRESIDENT /OWNER)
(301) 908-2116
Entity
Organization
Contact information
Practice address
12510 PROSPERITY DR, SUITE # 320, SILVER SPRING, MD 20904-1663
(301) 755-3380
(866) 596-1084
Mailing address
12515 OLD GUNPOWDER RD, BELTSVILLE, MD 20705-1151
(301) 908-2116
(866) 596-1084
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R142632
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F1213055
AMERICAN ACADEMY NURSE PRACTITONERS
MD
Enumeration date
04/09/2015
Last updated
04/09/2015
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