Gifted Primary Care Llc

LBN: Gifted Primary Care Llc
Gifted Primary Care Llc is an health care organization with primary practice located at 3060 Mitchellville Rd Ste 106A, Bowie MD 20716. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Gifted Primary Care Llc can be contacted via phone (301) 357-1167, or through Ateghang, Nyediang via phone (301) 357-1167.

Contact Information

Primary practice address
3060 Mitchellville Rd Ste 106A Bowie MD 20716
Phone: (301) 357-1167
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ateghang, Nyediang CRNP
Phone: (301) 357-1167

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1689399032
LBN Legal business name Gifted Primary Care Llc
DBA Doing business as
Authorized official Ateghang, Nyediang CRNP
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2022
Last updated Apr 8th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689399032 NPPES
Maryland MEDICAID 881911400

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