Healthcare Provider Details

I. General information

NPI: 1184966376
Provider Name (Legal Business Name): NP2U LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2013
Last Update Date: 03/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5206 D ST SE
WASHINGTON DC
20019-6100
US

IV. Provider business mailing address

5206 D ST SE
WASHINGTON DC
20019-6100
US

V. Phone/Fax

Practice location:
  • Phone: 202-446-4090
  • Fax:
Mailing address:
  • Phone: 202-446-4090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. AILENA DENISE MAYO-MILLS
Title or Position: OWNER
Credential:
Phone: 202-466-4090