Organization
MY HEALTH, LLC
Active
Other names
My Health, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MYRIAM DIATTA CRNP (NURSE PRACTITIONER)
(202) 390-6990
Entity
Organization
Contact information
Practice address
3425 LONDONLEAF LN, LAUREL, MD 20724-2902
(202) 390-6990
(866) 871-7324
Mailing address
3425 LONDONLEAF LN, LAUREL, MD 20724-2902
(202) 390-6990
(866) 871-7324
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R187091
CERTIFIED NURSE PRACTITIONER LICENSE
MD
Enumeration date
12/20/2020
Last updated
12/20/2020
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