| NPI | 1265102545 |
|---|---|
| Former Legal Business Name | FNPCONCIERGEMEDICALSERVICES |
| Former Legal Business Name | FNP CONCIERGE HOME MEDICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | REBECCA JEAN MYSIUK Employee 410-271-0335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 364SH0200X Clinical Nurse Specialist, Home Health |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2021-09-17 |