MEDICARE: ASTEN NURSING AND BEHAVIORAL 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	:	1427670090
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASTEN NURSING AND BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	11400 BELVIDERE RD
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20721-2122
Country	:	US
Telephone Number	:	240-605-2479
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 MEDICAL CENTER DR STE 270
Second Line	:
City	:	LARGO
State	:	MD
Zip	:	20774-3709
Country	:	US
Telephone Number	:	301-272-1056
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	VIVIAN UMEUGO
Credential	:	NP
Telephone Number	:	240-605-2479

Provider Enumeration Date	:	05/17/2020
Last Update Date	:	08/12/2025

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