Provider Demographics
NPI:1003425844
Name:WE WALK TOGETHER, LLC
Entity Type:Organization
Organization Name:WE WALK TOGETHER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:BINTA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOJANG
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:301-379-8180
Mailing Address - Street 1:8406 SHADELAND RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-1922
Mailing Address - Country:US
Mailing Address - Phone:301-379-8180
Mailing Address - Fax:
Practice Address - Street 1:8406 SHADELAND RD
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20724-1922
Practice Address - Country:US
Practice Address - Phone:301-379-8180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-28
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD715685Medicaid