WEEKEND WHITECOAT CONCIERGE LLC NPI 1093310450

NPI Information

NPI: 1093310450
Provider Name: WEEKEND WHITECOAT CONCIERGE LLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 21D2227091

Address:
1034 MCDONOGH ST
BALTIMORE, MD
ZIP 21205
Phone: (410) 999-1742
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WEEKEND WHITECOAT CONCIERGE LLC is a primary care nurse practitioner in Baltimore, MD. WEEKEND WHITECOAT CONCIERGE LLC NPI is 1093310450. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1034 MCDONOGH ST
BALTIMORE, MD
ZIP 21205-110
Phone: (410) 999-1742
Fax: (410) 999-1742

The provider's authorized official is Theo Joshua Jones .
The authorized official title is Owner and has the following contact phone number (410) 999-1742.

The CLIA number assigned to this NPI record is 21D2227091 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/3/2020 and was last updated on 12/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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