| Rita N Dexter | |
|
5200 Devonport Ct Glenn Dale MD 20769-9141 | |
| (202) 569-4166 | |
| Not Available |
| Full Name | Rita N Dexter |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5200 Devonport Ct, Glenn Dale, Maryland |
| Authorized Official Name and Position | Rita Dexter (OWNER) |
| Authorized Official Contact | 2025694166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rita N Dexter 5200 Devonport Ct Glenn Dale MD 20769-9141 Ph: (202) 569-4166 | Rita N Dexter 5200 Devonport Ct Glenn Dale MD 20769-9141 Ph: (202) 569-4166 |
| NPI Number | 1134896020 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 08/27/2021 |
| Certification Date | 08/27/2021 |
| Medicare PECOS PAC ID | 3375931173 |
|---|---|
| Medicare Enrollment ID | O20211028000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134896020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Rita Dexter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538792007 PECOS PAC ID: 6002204807 Enrollment ID: I20211028000317 |
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