MEDICARE: PERSPECTIVE HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1265240717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSPECTIVE HEALTH LLC

Provider Business Mailing Address
First Line	:	11114 LAKE VICTORIA LN
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20720-4258
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11114 LAKE VICTORIA LN
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20720-4258
Country	:	US
Telephone Number	:	202-591-9059
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MS. ANDERLINE NOUTAI
Credential	:	CRNP
Telephone Number	:	202-591-9059

Provider Enumeration Date	:	12/30/2024
Last Update Date	:	12/30/2024

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Directions to “PERSPECTIVE HEALTH LLC ” Practice Location

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