Primal Health Family Practice
NPI #1013470772 in Waldorf, Maryland
Provider Information
- NPI Number
- 1013470772
- Entity Type
- Organization
- Organization Name
- Primal Health Family Practice
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Apr 10, 2019
- Last Updated
- Oct 31, 2023
Practice Location
Authorized Official
- Name
- NNEGADI TATAW, CRNP
- Title
- CEO
- Phone
- (240) 425-2762
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
| Nurse Practitioner - Family — Family |
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