NPI 1033590724

Gw the Medical Faculty Associate

Organisation Nurse Practitioner Washington, DC

Practice location

Address: 2150 Pennsylvania Ave NW Department of Surgery, Suite 6b-412, Washington, DC 20037-3201
Phone: (202) 741-3225
Mailing address: 10401 Grosvenor Pl APT 1311, Rockville, MD 20852-4646

Authorised official

Name: Roger Magboo Brucal
Title: Nurse Practitioner
Phone: (240) 481-3356

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence RN1004515 (DC)

Other Nurse Practitioner providers in District of Columbia →

Registry record

NPI: 1033590724
Entity type: Organization
NPI issued: 18 Jun 2015
Record last updated: 18 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.