Provider Demographics
NPI:1023720513
Name:APHA HEALTH
Entity type:Organization
Organization Name:APHA HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:VERA
Authorized Official - Middle Name:
Authorized Official - Last Name:OGEMBO
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:240-614-1775
Mailing Address - Street 1:17904 SHOTLEY BRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1650
Mailing Address - Country:US
Mailing Address - Phone:240-614-1775
Mailing Address - Fax:
Practice Address - Street 1:12345 PARKLAWN DR STE 200R31
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1725
Practice Address - Country:US
Practice Address - Phone:240-889-3868
Practice Address - Fax:501-222-6141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty