Organization
VASTCARE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STELLA O. AKPUAKA NURSE PRACTITIONER (PROVIDER)
(301) 708-0100
Entity
Organization
Contact information
Practice address
9470 ANNAPOLIS RD STE 115, LANHAM, MD 20706-3025
(301) 708-0100
(301) 708-0101
Mailing address
9470 ANNAPOLIS RD STE 115, LANHAM, MD 20706-3025
(301) 708-0100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
03/11/2019
Last updated
06/11/2020
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