Organization
E & T HEALTHCARE ENTERPRISE
Active
Other names
E & T HEALTHCARE ENTERPRISE, N/A
Organization subpart
No
Provider details
NPI number
Authorized official
MISS EVELINE NTUI TAKANG CRNP (NURSE PRACTITIONER)
(240) 264-9698
Entity
Organization
Contact information
Practice address
8113 HARTFORD ROAD, BALTIMORE, MD 21234
(410) 882-4800
(410) 882-6667
Mailing address
12904 NORTHAMPTON DR, BELTSVILLE, MD 20705
(240) 264-9698
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R167174
MD
Other
Enumeration date
09/04/2017
Last updated
06/16/2018
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