Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | RN1032873 | DC |
NPI | 1033741400 |
---|---|
Provider Name | Ms. Annie Kirlin |
First Address | Washington, DC 20018-2317 |
Second Address | Silver Spring, MD 20904-2606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2020 |
Last Update Date | 04/02/2020 |