| Np Family Practice | |
|
22196 Three Notch Rd Ste 104 Lexington Park MD 20653-2008 | |
| (301) 997-4453 | |
| Not Available |
| Full Name | Np Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 22196 Three Notch Rd Ste 104, Lexington Park, Maryland |
| Authorized Official Name and Position | Temeria S Wilcox (OWNER) |
| Authorized Official Contact | 3019974453 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Np Family Practice 22196 Three Notch Rd Lexington Park MD 20653-2008 Ph: (301) 997-4453 | Np Family Practice 22196 Three Notch Rd Ste 104 Lexington Park MD 20653-2008 Ph: (301) 997-4453 |
| NPI Number | 1710543665 |
|---|---|
| Provider Enumeration Date | 05/16/2019 |
| Last Update Date | 06/23/2019 |
| Medicare PECOS PAC ID | 5991030348 |
|---|---|
| Medicare Enrollment ID | O20190709000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710543665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Temeria Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154869824 PECOS PAC ID: 8022385129 Enrollment ID: I20170520000118 |
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