Provider Demographics
NPI:1477224343
Name:METRIX HEALTHCARE
Entity Type:Organization
Organization Name:METRIX HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF ENTITY
Authorized Official - Prefix:
Authorized Official - First Name:OGO
Authorized Official - Middle Name:A
Authorized Official - Last Name:TUNDE-SANYA
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, CRNP-PMHNP-BC
Authorized Official - Phone:301-957-7210
Mailing Address - Street 1:9701 APOLLO DR STE 293
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-4789
Mailing Address - Country:US
Mailing Address - Phone:301-957-7210
Mailing Address - Fax:
Practice Address - Street 1:9701 APOLLO DR STE 293
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-4789
Practice Address - Country:US
Practice Address - Phone:301-957-7210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-21
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty