NPI 1194698779 · live from the CMS NPI Registry
Prudence Ayuk, FNP
Nurse Practitioner, Family in Glenn Dale, MD. National Provider Identifier 1194698779, active.
NPI record
| NPI | 1194698779 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 12150 Annapolis Rd Ste 100, Glenn Dale, MD 20769 |
| Practice phone | 301-464-7601 |
| Mailing address | Po Box 7321, Largo, MD 20792 |
| Enumerated | September 29, 2025 |
| Last updated | September 4, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | R238816 (MD) |
| Nurse Practitioner, Family | 363LF0000X | RN500010088 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.