Organization · Type 2 NPI

Devine Family Care Practice LLC

Family Nurse Practitioner · Owings Mills, MD

NPI number 1962219642 Active

Practice location

8890 Mcdonogh Rd Ste 211
Owings Mills, MD 21117-5397

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

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NPI record

NPI: 1962219642
Entity type: Organization (Type 2)
Issued: Dec 16, 2024
Last updated: Dec 16, 2024
Status: Active
Subpart: Yes of Devine Family Care Practice LLC

Other names

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Devine Family Care Practice · doing business as

Authorized official

Stella Ebere Mbah, DNP, CRNP, FNP-BC
Chief Medical Officer
(443) 200-5338

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About NPI 1962219642

Devine Family Care Practice LLC's National Provider Identifier is 1962219642, issued on Dec 16, 2024. 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 Dec 16, 2024.