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CARING HANDS OF FREDRICK LLC NPI 1497965727


NPI Information

NPI: 1497965727
Provider Name: CARING HANDS OF FREDRICK, LLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

CLIA Number: 21D1085743

Address:
4202 GREEN VALLEY RD
MONROVIA, MD
ZIP 21770
Phone: (301) 865-4484
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CARING HANDS OF FREDRICK, LLC is an adult health nurse practitioner in Monrovia, MD. CARING HANDS OF FREDRICK, LLC NPI is 1497965727. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4202 GREEN VALLEY RD
MONROVIA, MD
ZIP 21770-517
Phone: (301) 865-4484
Fax: (301) 865-2844

The provider's authorized official is Pamela Jean Eaton .
The authorized official title is Owner and has the following contact phone number (301) 865-4484.

The CLIA number assigned to this NPI record is 21D1085743 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 3/7/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult HealthR050640MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1R050640OTHERMARYLANDNURSE PRACTITIONER

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

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.