Organization · Type 2 NPI
Equillibrium Health Care Services LLC
Family Nurse Practitioner · Laurel, MD
NPI number
1003450206
Active
Practice location
24 River Front Pl Apt 206
Laurel, MD 20707-7135
Mailing address
5364 Tarkington Pl
Columbia, MD 21044-5407
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1003450206
Equillibrium Health Care Services LLC's National Provider Identifier is 1003450206, issued on Oct 30, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Laurel, MD. The record was last updated on Apr 10, 2024.