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Organization

SEVRAGE360 PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NASU ALICE MAQUETA PMHNP (OWNER)
(202) 349-5862
Entity
Organization

Contact information

Practice address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(202) 349-5862
Mailing address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(202) 349-5862

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
02/16/2026
Last updated
02/16/2026
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