MEDICARE: ADVANCED PRACTITIONER HEALTHCARE NETWORKING, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QI0500X	Infusion Therapy Clinic/Center
2	261QP2300X	Primary Care Clinic/Center
3	261QU0200X	Urgent Care Clinic/Center
4	305S00000X	Point of Service
5	305R00000X	Preferred Provider Organization

General Provider Information

NPI Number	:	1740771179
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED PRACTITIONER HEALTHCARE NETWORKING, LLC

Provider Business Mailing Address
First Line	:	6246 MONTROSE RD
Second Line	:
City	:	NORTH BETHESDA
State	:	MD
Zip	:	20852-4119
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6246 MONTROSE RD
Second Line	:
City	:	NORTH BETHESDA
State	:	MD
Zip	:	20852
Country	:	US
Telephone Number	:	301-215-0703
Fax Number	:

Authorized Official
Title or Position	:	MEMBER MANAGER
Name	:	JOSEPHINE MOORE
Credential	:
Telephone Number	:	301-215-0703

Provider Enumeration Date	:	05/22/2018
Last Update Date	:	12/07/2018

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Directions to “ADVANCED PRACTITIONER HEALTHCARE NETWORKING, LLC ” Practice Location

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