Primal Health Family Practice
Primal Health Family Practice is a Primary Care Clinic/Center in Waldorf, Maryland. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
3261 Old Washington Rd Ste 2020Waldorf, MD 20602-3231
Phone: (240) 923-0614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X |
|---|---|
| Primary Care Clinic/Center | Taxonomy 261QP2300X |
Record details
| NPI number | 1013470772 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nnegadi Tataw — Ceo · (240) 425-2762 |
| NPI enumerated | April 10, 2019 |
| Last updated in NPPES | October 31, 2023 |
| Certification date | October 31, 2023 |
| Mailing address | 3261 Old Washington Rd Ste 2020, Waldorf, MD 20602-3231 |
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