Individual
FAYE REGINA HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7215 HANOVER PKWY, SUITE D, GREENBELT, MD 20770-2019
(301) 345-7885
Mailing address
5622 1ST ST NE, WASHINGTON, DC 20011-2416
(202) 437-6464
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R189760
MD
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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