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NPI Code Detail

MEDICARE: CHRISTINA SCHRACK NP

MEDICARE: CHRISTINA SCHRACK NP
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 PractitionerRN294528GA
2363LP2300XPrimary Care Nurse PractitionerRN1014424DC
3363LP2300XPrimary Care Nurse PractitionerR198504MD

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ML131OTHERFLFL MEDICARE

General Provider Information

NPI Number : 1861891566
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA SCHRACK NP
Provider Business Mailing Address
First Line : 1201 SEVEN LOCKS RD STE 111
Second Line :
City : POTOMAC
State : MD
Zip : 20854-2957
Country : US
Telephone Number : 301-762-5020
Fax Number : 301-294-7569
Provider Business Practice Location Address
First Line : 1201 SEVEN LOCKS RD STE 111
Second Line :
City : POTOMAC
State : MD
Zip : 20854-2957
Country : US
Telephone Number : 301-762-5020
Fax Number : 301-294-7569
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2014
Last Update Date : 08/20/2025

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1306841812 — DR. ASEFA JEJAW MEKONNEN MD
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