LIBERTY FAMILY CARE LLC NPI 1124640974

NPI Information

NPI: 1124640974
Provider Name: LIBERTY FAMILY CARE LLC

Other Name: LIBERTY FAMILY CARE

Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
8515 LIBERTY RD
RANDALLSTOWN, MD
ZIP 21133
Phone: (410) 301-6767
Get Directions

LIBERTY FAMILY CARE LLC is a primary care nurse practitioner in Randallstown, MD. LIBERTY FAMILY CARE LLC NPI is 1124640974. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Liberty Family Care.

The provider's business location address is:

8515 LIBERTY RD
RANDALLSTOWN, MD
ZIP 21133-832
Phone: (410) 301-6767

The provider's authorized official is Bolaji O Olugboja .
The authorized official title is Dr. and has the following contact phone number (410) 301-6767.

The enumeration date for this NPI number is 5/15/2020 and was last updated on 12/21/2021.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			No
2	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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »