Provider Demographics
NPI:1326433061
Name:PARDO, DANUSHCA (NP)
Entity Type:Individual
Prefix:MS
First Name:DANUSHCA
Middle Name:
Last Name:PARDO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:DANI
Other - Middle Name:
Other - Last Name:PARDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP, BSN RN
Mailing Address - Street 1:6188 OXON HILL RD.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-1331
Mailing Address - Country:US
Mailing Address - Phone:301-856-5860
Mailing Address - Fax:
Practice Address - Street 1:7055 SAMUEL MORSE DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-3439
Practice Address - Country:US
Practice Address - Phone:240-280-8036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-31
Last Update Date:2017-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR215992363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily