FAMILYCARE NURSE PRACTITIONER LLC is a primary care clinic center in Baltimore, MD. FAMILYCARE NURSE PRACTITIONER LLC NPI is 1821628801. The provider is registered as an organization entity type.
The provider's business location address is:
2300 GARRISON BLVD STE 100
BALTIMORE, MD
ZIP 21216-308
Phone: (410) 945-2289
Fax: (410) 945-4255
The provider's authorized official is Ngwanma Nwokoro .
The authorized official title is Ceo and has the following contact phone number (410) 945-2289.
The CLIA number assigned to this NPI record is 21D2281536 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/19/2020 and was last updated on 1/19/2020.