=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730517319
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LATEERAH ANDREWS NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/17/2013
-----------------------------------------------------
Last Update Date | 12/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6305 IVY LN STE 215
-----------------------------------------------------
City | GREENBELT
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20770-6373
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-790-8106
-----------------------------------------------------
Fax | 949-864-3702
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6305 IVY LN STE 215
-----------------------------------------------------
City | GREENBELT
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20770-6373
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-790-8106
-----------------------------------------------------
Fax | 949-864-3702
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | R213435
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | R213435
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------