Organization · Type 2 NPI
CCM Healthcare, LLC
Adult Health Nurse Practitioner · Hollywood, MD
NPI number
1982421095
Active
Practice location
42925 Hungerford Ct
Hollywood, MD 20636-3278
Fax (657) 699-1592
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | None listed |
| Community Health Nurse Practitioner | 363LC1500X | None listed |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1982421095
CCM Healthcare, LLC's National Provider Identifier is 1982421095, issued on Sep 21, 2024. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Hollywood, MD. The record was last updated on Jul 9, 2025.