Nurse Practitioner, Pediatrics
IUDOK PREMOE PNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1508915554 · enumerated 2007-01-09 · record updated 2007-07-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1058 WEST PERIMETER ROAD, PEDIATRIC CLINIC, ANDREWS AFB, MD, 20762 (240) 857-2723 Fax (240) 857-6263 Google Maps Apple Maps OpenStreetMap
- Practice location 1050 W PERIMETER RD, PEDIATRIC CLINIC, ANDREWS AFB, MD, 20762-6601 (240) 857-2723 Fax (240) 857-6263 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License R114085 MD
In this directory
MD Prince George's County Andrews Afb Nurse Practitioner, Pediatrics
Locations and evidence
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Practice location
ANDREWS AFB, MD, 207626601
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.