Individual
SIA SAFFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7505 GREENWAY CENTER DR, UNIT 003, GREENBELT, MD 20770
(202) 830-5465
Mailing address
14921 DENNINGTON DR, BOWIE, MD 20721-3273
(240) 479-5900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R187072
MD
Other
Enumeration date
01/07/2015
Last updated
03/17/2026
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