Individual
MARITA ATEHAKOH FORMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7375 EXECUTIVE PL, LANHAM, MD 20706-2278
(202) 940-2022
Mailing address
7375 EXECUTIVE PL STE 200, LANHAM, MD 20706-6234
(202) 940-2022
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R249853
MD
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R249853
MD
374U00000X
Home Health Aide
Primary
HHA11749
DC
Other
Enumeration date
12/31/2015
Last updated
04/20/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us