| NPI | 1912199415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J SHUMACHER Cmo 443-492-5199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 163WG0600X Registered Nurse Gerontology |
| 207QA0505X Family Medicine Adult Medicine | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant Medical | |
| 363L00000X Nurse Practitioner | |
| 363LA2100X Nurse Practitioner Acute Care | |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LG0600X Nurse Practitioner Gerontology | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2024-08-15 |