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Contact Information

NEVYLL N DOUGLAS
9841 WASHINGTONIAN BLVD STE 2001067
GAITHERSBURG, MD20878-5389
 Phone: 240-583-0207
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
 

Community Health

363LC1500X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for NEVYLL N DOUGLAS · (Male)

NPI Number 1689412843
Status Active
Credentials
Entity Individual
Enumeration date 07/19/2024
Last updated 07/19/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MD License # 0629
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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