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NPI Code Detail

MEDICARE: GRACE AKINPETIDE CRNP-PMH

MEDICARE:   GRACE  AKINPETIDE  CRNP-PMH
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
1363LF0000XFamily Nurse Practitioner0024168530VA
2363LF0000XFamily Nurse PractitionerR170998MD
3363LF0000XFamily Nurse PractitionerRN1006812DC
4363LP0808XPsychiatric/Mental Health Nurse PractitionerR170998MD

General Provider Information

NPI Number : 1619206745
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE AKINPETIDE CRNP-PMH
Provider Business Mailing Address
First Line : 1400 MERCANTILE LN STE 242
Second Line :
City : LARGO
State : MD
Zip : 20774-5353
Country : US
Telephone Number : 301-381-2320
Fax Number :
Provider Business Practice Location Address
First Line : 1400 MERCANTILE LN STE 242
Second Line :
City : LARGO
State : MD
Zip : 20774-5353
Country : US
Telephone Number : 301-381-2320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2009
Last Update Date : 10/21/2024

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Directions to “ GRACE AKINPETIDE CRNP-PMH” Practice Location

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