Organization · Type 2 NPI

Trisource, LLC

Medical-Surgical Registered Nurse · Hanover, MD

NPI number 1245124650 Active

Practice location

7467 Ridge Rd Ste 120
Hanover, MD 21076-3184

Call (410) 782-0641 Map

Fax (410) 782-0641

Specialties and licenses

TaxonomyCodeLicense
Medical-Surgical Registered Nurse Primary 163WM0705XNone listed

Medical-Surgical Registered Nurse: Definition to come...

About NPI 1245124650

Trisource, LLC's National Provider Identifier is 1245124650, issued on Jun 9, 2025. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Hanover, MD. The record was last updated on Jun 9, 2025.