Healthcare Provider Details

I. General information

NPI: 1376281576
Provider Name (Legal Business Name): MARIA ANGELICA BRICENO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2022
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5550 FRIENDSHIP BLVD STE 130
CHEVY CHASE MD
20815-7201
US

IV. Provider business mailing address

3820 CHAPLIN PL APT 517
CHEVY CHASE MD
20815-4170
US

V. Phone/Fax

Practice location:
  • Phone: 301-652-7700
  • Fax:
Mailing address:
  • Phone: 954-253-4390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAC007281
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number0024184167
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: