Provider Demographics
NPI:1134744246
Name:ALL ABOUT YOU PRIMARY CARE
Entity type:Organization
Organization Name:ALL ABOUT YOU PRIMARY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:TULI-KENDALL
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:240-503-1567
Mailing Address - Street 1:16220 FREDERICK RD STE 418
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-4021
Mailing Address - Country:US
Mailing Address - Phone:240-503-1567
Mailing Address - Fax:240-292-1135
Practice Address - Street 1:16220 FREDERICK RD STE 418
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-4021
Practice Address - Country:US
Practice Address - Phone:240-503-1567
Practice Address - Fax:240-292-1135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-15
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty