Queen K Iji
Nurse Practitioner - Primary Care
3070 Crain Hwy
Waldorf
, Maryland 20601-2830
Queen K Iji
Nurse Practitioner - Primary Care
3070 Crain Hwy
Waldorf
, Maryland 20601-2830
(609) 456-9638
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Queen K Iji
- 105 Gleaning Ct
- La Plata, MD
- Zip : 20646-3218
- Phone : (609) 456-9638
Second Address
- Queen K Iji
- 3070 Crain Hwy
- Waldorf, MD
- Zip : 20601-2830
- Phone : (301) 645-3556
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 26NJ01025400 | NJ |
National Provider Identifier
| NPI | 1073124327 |
|---|---|
| Provider Name | Queen K Iji |
| First Address | La Plata, MD 20646-3218 |
| Second Address | Waldorf, MD 20601-2830 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/08/2020 |
| Last Update Date | 21/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.