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NPI Code Detail

MEDICARE: NADINE PEH MOYIM

MEDICARE: NADINE PEH MOYIM
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
1106S00000XBehavior Technician
2171M00000XCase Manager/Care CoordinatorDC

General Provider Information

NPI Number : 1396609210
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADINE PEH MOYIM
Provider Business Mailing Address
First Line : 9957 GOOD LUCK RD
Second Line :
City : LANHAM
State : MD
Zip : 20706-3271
Country : US
Telephone Number : 227-238-9077
Fax Number : 227-238-9077
Provider Business Practice Location Address
First Line : 4741 COLONEL ASHTON PL
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20772-2881
Country : US
Telephone Number : 301-379-9654
Fax Number : 240-377-0226
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 02/10/2026

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Directions to “ NADINE PEH MOYIM ” Practice Location

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