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NESBURG INC. NPI 1649511973


NPI Information

NPI: 1649511973
Provider Name: NESBURG INC.

Doing Business As: GUARDIAN COMMUNITY HEALTH CLINIC

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
11240 REISTERSTOWN RD
SUITE C-5
OWINGS MILLS, MD
ZIP 21117
Phone: (410) 800-4572
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NESBURG INC. is a family nurse practitioner in Owings Mills, MD. NESBURG INC. NPI is 1649511973. The provider is registered as an organization entity type.
The provider Is Doing Business As Guardian Community Health Clinic.

The provider's business location address is:

11240 REISTERSTOWN RD
SUITE C-5
OWINGS MILLS, MD
ZIP 21117-965
Phone: (410) 800-4572

The provider's authorized official is Abiola Olakitan Obatuase .
The authorized official title is Owner and has the following contact phone number (443) 722-0954.

The enumeration date for this NPI number is 3/12/2013 and was last updated on 1/11/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthR3420MARYLANDNo
2363LF0000XNurse PractitionerFamilyYes

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
15222400300MEDICAIDMARYLAND

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: 11/14/2023

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