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EASTERN SHORE PRIMARY CARE & WELLNESS LLC NPI 1285404699


NPI Information

NPI: 1285404699
Provider Name: EASTERN SHORE PRIMARY CARE & WELLNESS, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 21D2295462

Address:
1505 S SALISBURY BLVD
SALISBURY, MD
ZIP 21801
Phone: (410) 936-5500
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EASTERN SHORE PRIMARY CARE & WELLNESS, LLC is a family nurse practitioner in Salisbury, MD. EASTERN SHORE PRIMARY CARE & WELLNESS, LLC NPI is 1285404699. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1505 S SALISBURY BLVD
SALISBURY, MD
ZIP 21801-128
Phone: (410) 936-5500
Fax: (667) 810-6008

The provider's authorized official is Martin Melson .
The authorized official title is Owner and has the following contact phone number (410) 936-5500.

The CLIA number assigned to this NPI record is 21D2295462 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2024 and was last updated on 1/5/2024.


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 License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.