NPI 1154615938 · live from the CMS NPI Registry
Patricia Abernathy-Clark, PA-C
Physician Assistant, Medical in Lanham, MD. National Provider Identifier 1154615938, active.
NPI record
| NPI | 1154615938 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 7404 Executive Pl, 502, Lanham, MD 20706 |
| Practice phone | 301-249-2700 |
| Enumerated | June 8, 2011 |
| Last updated | June 8, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | C0003282 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.