Individual
AFIWA ATISSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11942 CRIMSON LN, SILVER SPRING, MD 20904-1959
(240) 247-7245
Mailing address
11942 CRIMSON LN, SILVER SPRING, MD 20904-1959
(240) 247-7245
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2022061676
MD
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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