Organization · Type 2 NPI
Peridot Primary Care, LLC
Family Nurse Practitioner · Clarksburg, MD
NPI number
1356957252
Active
Practice location
23202 Brewers Tavern Way
Clarksburg, MD 20871-4391
Fax (855) 942-3275
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
5 other providers at this address
- Clarksburg Dermatology and Skincare LLCNurse Practitioner Clarksburg, MD NPI 1316439078
- Clarksburg Eye Care, LLCOptometrist Clarksburg, MD NPI 1912345471
- Prestige Physical Therapy LLCSpecialist Clarksburg, MD NPI 1124263066
- SSV Medical GroupPrimary Care Clinic/Center Clarksburg, MD NPI 1104526458
- Princess Stephenson, APRN, FNP-CFamily Nurse Practitioner Clarksburg, MD NPI 1881155901
About NPI 1356957252
Peridot Primary Care, LLC's National Provider Identifier is 1356957252, issued on Sep 17, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Clarksburg, MD. The record was last updated on Jan 11, 2022.