Organization
AGAPE MEDICAL SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERPETUA B JOHNSON CRNP (OWNER)
(301) 322-7722
Entity
Organization
Contact information
Practice address
7411 RIGGS RD STE 404, HYATTSVILLE, MD 20783-4246
(301) 434-8183
(301) 434-8289
Mailing address
PO BOX 1593, LANDOVER, MD 20785-0593
(301) 434-8183
(301) 434-8289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R148142
MD
363LF0000X
Family Nurse Practitioner
RN961144
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091815400
—
DC
05
—
538602101
—
MD
Enumeration date
11/02/2013
Last updated
11/17/2021
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