| NPI | 1023762986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS CONDA Billing Manager 410-927-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-22 |