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HERITAGE MEDICAL PROVIDERS
NPI 1023835196
Nurse Practitioner in Upper Marlboro, MD

Active since September 20, 2024
10600 MELWOOD CHAPEL LN, UPPER MARLBORO, MD 20772(817) 608-7454 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heritage Medical Providers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERITAGE MEDICAL PROVIDERS (NPI 1023835196) is a healthcare organization registered as a nurse practitioner in Upper Marlboro, Maryland and active in the NPI registry since September 2024. The organization lists Ayah Taniform, Owner, as its authorized official.

NPPES Registry Identity

NPI1023835196
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameHERITAGE MEDICAL PROVIDERS
Location Address10600 MELWOOD CHAPEL LNUpper Marlboro, MD 20772-2960
Mailing Address10600 Melwood Chapel LnUpper Marlboro, MD 20772-2960 · (817) 608-7454
Phone(817) 608-7454
Organization SubpartNo
Authorized OfficialAyah TaniformOwner · (817) 608-7454
Enumeration DateSeptember 20, 2024
NPPES CertifiedSeptember 20, 2024
✔ NPI 1023835196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
10600 MELWOOD CHAPEL LN, Upper Marlboro, MD 20772
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AYAH MUMAH TANIFORM NP
Nurse Practitioner (Family)
10600 MELWOOD CHAPEL LN
UPPER MARLBORO, MD 20772
Prince George's County (240) 646-2242

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heritage Medical Providers's NPI number?

The NPI number for Heritage Medical Providers is 1023835196. It was assigned to this organization in the NPPES registry on September 20, 2024.

Where is Heritage Medical Providers located?

Heritage Medical Providers is located at 10600 Melwood Chapel Ln, Upper Marlboro, MD 20772. The listed phone number is (817) 608-7454.

What is Heritage Medical Providers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Heritage Medical Providers was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.