Healthcare Provider Details

I. General information

NPI: 1730885575
Provider Name (Legal Business Name): NATALIE L. KEKUH FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NATALIE LASHAUN KEKUH FNP-BC

II. Dates (important events)

Enumeration Date: 02/02/2023
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 OWENS GLEN CT
NORTH POTOMAC MD
20878-2300
US

IV. Provider business mailing address

PO BOX 1432
LAUREL MD
20725-1432
US

V. Phone/Fax

Practice location:
  • Phone: 301-664-4209
  • Fax:
Mailing address:
  • Phone: 301-664-4209
  • Fax: 443-926-9958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberR224971
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: