Practistat

NPI #1972230639 in Columbia, Maryland

Provider Information

NPI Number
1972230639
Entity Type
Organization
Organization Name
Practistat
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Aug 3, 2022
Last Updated
Aug 3, 2022

Practice Location

Address
5457 TWIN KNOLLS RD STE 300
ZIP Code
21045-3296
Phone
(240) 461-9005

Authorized Official

Name
DR. MUNIRATU FABODE, APRN
Title
OWNER
Phone
(240) 461-9005

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty
Nurse Practitioner - FamilyFamily

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