Organization
PRUDENT MEDICAL ASSOCIATES LLC
Active
Other names
Prudent Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH I OKONOFUA DNP (OWNER)
(301) 254-8509
Entity
Organization
Contact information
Practice address
7100 BALTIMORE AVE STE 510, COLLEGE PARK, MD 20740-3641
(240) 467-5739
(240) 467-5795
Mailing address
7100 BALTIMORE AVE STE 510, COLLEGE PARK, MD 20740-3641
(240) 467-5739
(240) 467-5795
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN1003033
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080802600
—
DC
Enumeration date
07/22/2013
Last updated
12/07/2018
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