Organization · Type 2 NPI
Nurse Practitioner Support
Clinic/Center · La Plata, MD
NPI number
1255943502
Active
Practice location
1 Saint Marys Ave # 101
La Plata, MD 20646-4037
Mailing address
1 Saint Marys Ave Ste 101
La Plata, MD 20646-4037
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
Other clinic/center providers in La Plata
About NPI 1255943502
Nurse Practitioner Support's National Provider Identifier is 1255943502, issued on Aug 18, 2020. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in La Plata, MD. The record was last updated on Aug 5, 2024.