FIVE-STAR INTEGRATED HEALTH SERVICES LLC NPI 1750991709

NPI Information

NPI: 1750991709
Provider Name: FIVE-STAR INTEGRATED HEALTH SERVICES, LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1125 WEST ST STE 235
ANNAPOLIS, MD
ZIP 21401
Phone: (667) 204-0614
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FIVE-STAR INTEGRATED HEALTH SERVICES, LLC is a psychiatric/mental health nurse practitioner in Annapolis, MD. FIVE-STAR INTEGRATED HEALTH SERVICES, LLC NPI is 1750991709. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1125 WEST ST STE 235
ANNAPOLIS, MD
ZIP 21401-198
Phone: (667) 204-0614

The provider's authorized official is Tamia Rollins-musgrave .
The authorized official title is Owner and has the following contact phone number (667) 720-0614.

The enumeration date for this NPI number is 8/5/2020 and was last updated on 9/28/2020.

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	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	No
2	251S00000X	Community/Behavioral Health		No
3	291U00000X	Clinical Medical Laboratory		No
4	363LF0000X	Nurse Practitioner	Family	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	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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