| Dilys Fan, MSN, AGNP-C | |
|
19703 Executive Park Cir, Germantown, MD 20874-2639 | |
| (301) 540-9447 | |
| Not Available |
| Full Name | Dilys Fan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 19703 Executive Park Cir, Germantown, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033681440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | R209031 (Maryland) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | R209031 (Maryland) | Primary |
| Entity Name | Advanced Medical Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730398538 PECOS PAC ID: 6204875396 Enrollment ID: O20050428000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Dilys Fan, MSN, AGNP-C 12001 Ferrara Ave, Silver Spring, MD 20906-4706 Ph: (301) 946-6623 | Dilys Fan, MSN, AGNP-C 19703 Executive Park Cir, Germantown, MD 20874-2639 Ph: (301) 540-9447 |
Mr. Robert M. Ginsburg, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12410 Milestone Center Dr Ste 225, Germantown, MD 20876 Phone: 301-944-0039 | |
Henrietta Sagoe, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12800 Middlebrook Rd Ste 400, Germantown, MD 20874 Phone: 301-515-2901 | |
Mrs. Joann Ordaz, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19801 Observation Dr, Germantown, MD 20876 Phone: 301-557-6000 | |
Mrs. Jennifer Lynn Manjo, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20410 Observation Dr Ste 100, Germantown, MD 20876 Phone: 301-762-0277 Fax: 301-330-9108 | |
Wuraola Sofowote, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19733 Executive Park Cir, Germantown, MD 20874 Phone: 443-929-1179 | |
Mrs. Kadiatu Mayeni Kamara-hill, MSN, CRNP, FNP-BC, F Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12730 Longford Glen Dr, Germantown, MD 20874 Phone: 240-499-4252 |