Healthcare Provider Details

I. General information

NPI: 1356204945
Provider Name (Legal Business Name): ADELA LUNGU MEDEIROS DNP, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ADELA LUNGU DNP, APRN, FNP-C

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20013 CENTURY BLVD
GERMANTOWN MD
20874-1235
US

IV. Provider business mailing address

20013 CENTURY BLVD
GERMANTOWN MD
20874-1235
US

V. Phone/Fax

Practice location:
  • Phone: 301-922-2417
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR253213
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN200002298
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR253213
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: