Healthcare Provider Details

I. General information

NPI: 1912322991
Provider Name (Legal Business Name): HEATHER M DUHAME NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2014
Last Update Date: 02/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5255 LONGHBORO ROAD, NW SIBLEY MEMORIAL HOSPITAL
WASHINGTON DC
20016
US

IV. Provider business mailing address

20010 CENTURY BOULEVARD SUITE 200
GERMANTOWN MD
20874-1106
US

V. Phone/Fax

Practice location:
  • Phone: 703-689-9000
  • Fax: 202-537-4965
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0001248546
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: