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NJI FRU
Family Nurse Practitioner
NPI: 1275893794IndividualAccepts Medicare
Specialties, Licenses & Credentials
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
R203089(MD)RN1028060(DC)
Psychiatric/Mental Health Nurse Practitioner
Nurse Practitioner — Psychiatric/Mental Health
Code: 363LP0808X
RN1028060(DC)R203089(MD)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2020
Contact & Hours
- Address
- 3200 CRAIN HWY STE 102
WALDORF, MD 20603 - Phone
- (301) 675-1652
Quick Facts
- NPI
- 1275893794
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 4
- Locations
- 1
- Years in Practice
- 6
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