| Organization Name: | DR. NANCY'S HOUSECALLS |
| NPI Number: | 1033532460 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NANCY DENNISSE RIVERA-KING (OWNER) |
| Mailing Address: | 1209a Marda Ln Annapolis |
| State: | MD US |
| Postal Code: | 214031706 |
| Phone Number: | 4103539323 |
| Fax Number: | 4107413870 |
| NPI Enumeration Date: | 01/21/2014 |
| NPI Last Update Date: | 01/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | D0040904 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |