| Mrs Lana Marie Enriquez Basto, NP-C | |
|
3720 Farragut Ave Ste 103, Kensington, MD 20895-2110 | |
| (240) 900-3933 | |
| Not Available |
| Full Name | Mrs Lana Marie Enriquez Basto |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3720 Farragut Ave Ste 103, Kensington, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164925343 | NPI | - | NPPES |
| AC003089 | Other | MD | MARYLAND NP LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0024175605 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AC003089 (Maryland) | Primary |
| Entity Name | Minuteclinic Diagnostic Of Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417076829 PECOS PAC ID: 6709960891 Enrollment ID: O20090123000189 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lana Marie Enriquez Basto, NP-C 3720 Farragut Ave Ste 103, Kensington, MD 20895-2110 Ph: (240) 900-3933 | Mrs Lana Marie Enriquez Basto, NP-C 3720 Farragut Ave Ste 103, Kensington, MD 20895-2110 Ph: (240) 900-3933 |
Natalia Carolina Rodriguez Leon, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10901 Connecticut Ave Ste 100, Kensington, MD 20895 Phone: 240-290-1041 Fax: 240-290-1045 | |
Ms. Jean Ann Gardner, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10810 Connecticut Avenue, Kensington, MD 20895 Phone: 301-929-7507 Fax: 301-929-7114 | |
Mrs. Jolly Joseph, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10605 Concord St Ste 205, Kensington, MD 20895 Phone: 301-949-4242 Fax: 301-949-8041 | |
Ms. Elaine Williamson, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10500 Summit Avenue, Kensington, MD 20895 Phone: 301-897-2500 Fax: 301-897-2333 | |
Tigist Tilahun, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3720 Farragut Ave Fl 2, Kensington, MD 20895 Phone: 301-949-4242 | |
Yuliya Matsova, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10605 Concord St, Kensington, MD 20895 Phone: 301-942-9833 |