Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heritage Medical Providers

Organization Nurse Practitioner · NPI 1023835196

Heritage Medical Providers provides Nurse Practitioner services in Upper Marlboro, Maryland. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

10600 Melwood Chapel Ln
Upper Marlboro, MD 20772-2960
Phone: (817) 608-7454
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1023835196
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ayah Taniform — Owner · (817) 608-7454
NPI enumeratedSeptember 20, 2024
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024
Mailing address10600 Melwood Chapel Ln, Upper Marlboro, MD 20772-2960

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