| NPI | 1063127314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN CHRISTOPHER SIMMONS Vice President Of Clinical Content 443-896-6295 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-01-20 |