Organization · Type 2 NPI
Primary Elite Healthcare, LLC
Family Nurse Practitioner · Owings Mills, MD
NPI number
1568056802
Active
Practice location
9627 Eaves Drive
Owings Mills, MD 21117
Mailing address
9627 Eaves Dr
Owings Mills, MD 21117-5919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1568056802
Primary Elite Healthcare, LLC's National Provider Identifier is 1568056802, issued on Feb 26, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Owings Mills, MD. The record was last updated on Feb 26, 2021.