Healthcare Provider Details

I. General information

NPI: 1407615297
Provider Name (Legal Business Name): HILDA ARHIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2024
Last Update Date: 03/15/2024
Certification Date: 03/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 NEW JERSEY AVE SE
WASHINGTON DC
20003-3302
US

IV. Provider business mailing address

11209 JOYCETON DR
UPPER MARLBORO MD
20774-1540
US

V. Phone/Fax

Practice location:
  • Phone: 202-715-7900
  • Fax:
Mailing address:
  • Phone: 240-517-7533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP1016379
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: