Healthcare Provider Details

I. General information

NPI: 1568191534
Provider Name (Legal Business Name): ANNIE KARMO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2022
Last Update Date: 06/06/2022
Certification Date: 06/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9332 ANNAPOLIS RD STE 308
LANHAM MD
20706-3113
US

IV. Provider business mailing address

9332 ANNAPOLIS RD STE 308
LANHAM MD
20706-3113
US

V. Phone/Fax

Practice location:
  • Phone: 240-388-2521
  • Fax:
Mailing address:
  • Phone: 240-388-2521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License NumberR5109
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberR5109
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberR5109
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: