Healthcare Provider Details

I. General information

NPI: 1750555785
Provider Name (Legal Business Name): WOMEN KIDS & TEENS AFTERHOURS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2008
Last Update Date: 01/17/2022
Certification Date: 01/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9801 GEORGIA AVE STE 224
SILVER SPRING MD
20902-5276
US

IV. Provider business mailing address

7500 HANOVER PKWY SUITE 202
GREENBELT MD
20770-2010
US

V. Phone/Fax

Practice location:
  • Phone: 301-592-0050
  • Fax: 301-592-8005
Mailing address:
  • Phone: 301-489-1400
  • Fax: 301-489-1405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. JULIET I ANADU
Title or Position: MANAGER
Credential: MD
Phone: 301-489-1400