Organization · Type 2 NPI
Immutech-Midatlantic, LLC
Family Nurse Practitioner · Windsor Mill, MD
NPI number
1740874627
Active
Practice location
1940 Winder Rd
Windsor Mill, MD 21244-1729
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 1740874627
Immutech-Midatlantic, LLC's National Provider Identifier is 1740874627, issued on Feb 22, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Windsor Mill, MD. The record was last updated on Jul 21, 2021.