NURSE PRACTITIONER SUPPORT NPI 1255943502

NPI Information

  • NPI: 1255943502
  • Provider Name: NURSE PRACTITIONER SUPPORT
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: NURSE PRACTITIONER SERVICES
  • Address: 1 SAINT MARYS AVE # 101
    LA PLATA, MD
    ZIP 20646
  • Phone: (240) 257-5436

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NPI Details

NURSE PRACTITIONER SUPPORT is a clinic center in La Plata, MD. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). NURSE PRACTITIONER SUPPORT NPI is 1255943502. The provider is registered as an organization entity type.
The provider Is Doing Business As Nurse Practitioner Services.

The provider's business location address is:

1 SAINT MARYS AVE # 101
LA PLATA, MD
ZIP 20646-037
Phone: (240) 257-5436

The provider's authorized official is Laura Behm .
The authorized official title is Co-owner, Nurse Practitioner and has the following contact phone number (240) 257-5436.

The enumeration date for this NPI number is 8/18/2020 and was last updated on 8/5/2024.

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
1261Q00000XClinic/CenterYes
2363LF0000XNurse PractitionerFamilyNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1799731100MEDICAIDMARYLAND

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: 3/30/2025

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