MEDCITY FAMILY CLINIC LLC NPI 1093482705

NPI Information

  • NPI: 1093482705
  • Provider Name: MEDCITY FAMILY CLINIC LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: MEDCITY FAMILY CLINIC LLC
  • CLIA Number: 21D2255107
  • Address: 2509 WASHINGTON BLVD
    BALTIMORE, MD
    ZIP 21230
  • Phone: (443) 565-2408

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NPI Details

MEDCITY FAMILY CLINIC LLC is a family nurse practitioner in Baltimore, MD. MEDCITY FAMILY CLINIC LLC NPI is 1093482705. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Medcity Family Clinic Llc.

The provider's business location address is:

2509 WASHINGTON BLVD
BALTIMORE, MD
ZIP 21230-406
Phone: (443) 565-2408

The provider's authorized official is Folasade Family Clinic Onasanya .
The authorized official title is President and has the following contact phone number (443) 565-2408.

The CLIA number assigned to this NPI record is 21D2255107 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2021 and was last updated on 11/30/2024.

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
1363LF0000XNurse PractitionerFamilyYes

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: 3/30/2025

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