Healthcare Provider Details
I. General information
NPI: 1477472967
Provider Name (Legal Business Name): APEX FAMILY CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1300 CARAWAY CT
UPPER MARLBORO MD
20774-5461
US
IV. Provider business mailing address
1300 CARAWAY CT
UPPER MARLBORO MD
20774-5461
US
V. Phone/Fax
- Phone: 202-717-2391
- Fax:
- Phone: 202-717-2391
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CATHERINE
A.
ADDISON
Title or Position: DNP, MSN, APRN, FNP-C
Credential: DNP, MSN, FNP-C
Phone: 202-717-2391