Organization
WHITE PLAINS PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DONNA R KNOTT (PRACTICE MANAGER)
(240) 417-6424
Entity
Organization
Contact information
Practice address
4550 CRAIN HWY, STE 102, WHITE PLAINS, MD 20695-3015
(240) 349-2448
(240) 349-2243
Mailing address
4550 CRAIN HWY, STE 102, WHITE PLAINS, MD 20695-3015
(240) 349-2448
(240) 349-2243
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R120765
MD
Other
Enumeration date
05/21/2013
Last updated
12/08/2015
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