Organization
CITYWORLD FAMILY PRACTICE
Active
Parent organization
CITYWORLD FAMILY PRACTICE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITYWORLD FAMILY PRACTICE LLC
Authorized official
MRS. MIRANDA MBUTAMBE NP (ADMINISTRATOR)
(202) 367-3927
Entity
Organization
Contact information
Practice address
7603 GEORGIA AVE NW STE 101, WASHINGTON, DC 20012-1617
(202) 658-6844
(202) 618-6201
Mailing address
7700 OLD BRANCH AVE STE B201, CLINTON, MD 20735-1605
(202) 367-3927
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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