institution
South Mountain Community Health Llc
Family Nurse Practitioner in Boonsboro, Maryland
NPI 1932388493

South Mountain Community Health Llc is a Family Nurse Practitioner based in Boonsboro, MD and is specialized in Family. South Mountain Community Health Llc practices in Boonsboro, MD. The NPI Number for South Mountain Community Health Llc is 1932388493 and holds a License No. R100650 (Maryland).

The current practice location address for South Mountain Community Health Llc is 9 Saint Paul St Ste 3, Boonsboro, MD and can be reached out via phone at 301-432-6897 and via fax at 301-432-6298.

Location: 9 Saint Paul St Ste 3, Boonsboro, MD, 21713-1334
institution
Provider Profile Details
NPI Number
1932388493
Provider Name
South Mountain Community Health Llc
Credential
Provider Entity Type
Organization
Address
9 Saint Paul St Ste 3, Boonsboro, MD, 21713-1334
Phone Number
301-432-6897
Fax Number
301-432-6298
Provider Enumeration Date
10/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
544300800 05 MD
institution
Provider Business Practice Location Address Details
Address
9 Saint Paul St Ste 3
City
State
Zip
21713
Phone Number
301-432-6897
Fax Number
301-432-6298
person
Provider Business Mailing Address Details
Address
9 Saint Paul St Ste 3
City
State
Zip
21713
Phone Number
301-432-6897
Fax Number
301-432-6298
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R100650 (Maryland)
Definition
Definition to come...
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