=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407574072
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DREAMA SHULER DNP, PMHNP-BC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/18/2022
-----------------------------------------------------
Last Update Date | 11/27/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2255 CRAIN HWY SUITE 202/OFFICE 2-2
-----------------------------------------------------
City | WALDORF
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20601-3190
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-687-2410
-----------------------------------------------------
Fax | 301-687-2414
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2255 CRAIN HWY SUITE 202/OFFICE 2-2
-----------------------------------------------------
City | WALDORF
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20601
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-687-2410
-----------------------------------------------------
Fax | 301-687-2414
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | 1016498
-----------------------------------------------------
License Number State | DC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | NP198083
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------