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Peridot Primary Care, Llc
Family Nurse Practitioner in Clarksburg, Maryland
NPI 1356957252

Peridot Primary Care, Llc is a Family Nurse Practitioner based in Clarksburg, MD and is specialized in Family. Peridot Primary Care, Llc practices in Clarksburg, MD. The NPI Number for Peridot Primary Care, Llc is 1356957252 and holds a License No. (Maryland).

The current practice location address for Peridot Primary Care, Llc is 23202 Brewers Tavern Way, Clarksburg, MD and can be reached out via phone at 301-215-2309 and via fax at 855-942-3275.

Location: 23202 Brewers Tavern Way, Clarksburg, MD, 20871-4391
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356957252
Provider Name
Peridot Primary Care, Llc
Credential
Provider Entity Type
Organization
Address
23202 Brewers Tavern Way, Clarksburg, MD, 20871-4391
Phone Number
301-215-2309
Fax Number
855-942-3275
Provider Enumeration Date
09/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
23202 Brewers Tavern Way
City
Clarksburg
State
Maryland
Zip
20871-4391
Phone Number
301-215-2309
Fax Number
855-942-3275
person
Provider Business Mailing Address Details
Address
23202 Brewers Tavern Way
City
Clarksburg
State
Maryland
Zip
20871-4391
Phone Number
301-215-2309
Fax Number
855-942-3275
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
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Definition
Definition to come...
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