Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heritage Medical Providers

Organization Nurse Practitioner · NPI 1023835196

Heritage Medical Providers is a Nurse Practitioner in Upper Marlboro, Maryland. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

10600 Melwood Chapel Ln
Upper Marlboro, MD 20772-2960
Phone: (817) 608-7454
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1023835196
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ayah Taniform — Owner · (817) 608-7454
NPI enumeratedSeptember 20, 2024
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024
Mailing address10600 Melwood Chapel Ln, Upper Marlboro, MD 20772-2960

Other providers in Upper Marlboro