Individual
OBIAGELI DURU ANOUMATACKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
19735 GERMANTOWN RD, GERMANTOWN, MD 20874-1214
(301) 634-9600
(301) 493-8553
Mailing address
9309 OLD GEORGETOWN RD, BETHESDA, MD 20814-1620
(301) 634-9600
(301) 493-8553
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R193298
MD
163W00000X
Registered Nurse
RN1022296
DC
363LF0000X
Family Nurse Practitioner
1022296
DC
363LF0000X
Family Nurse Practitioner
Primary
R193298
MD
Other
Enumeration date
05/14/2015
Last updated
11/08/2016
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