Porter Cares Maryland, LLC

NPI #1063127314 in Baltimore, Maryland

Provider Information

NPI Number: 1063127314
Entity Type: Organization
Organization Name: Porter Cares Maryland, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: PORTER CARES, INC
Primary Specialty: Nurse Practitioner
Enumeration Date: Jan 20, 2023
Last Updated: Jan 20, 2023

Practice Location

Address: 300 E LOMBARD ST STE 840
City: Baltimore
State: Maryland
ZIP Code: 21202-3231
Phone: (443) 896-6295

Authorized Official

Name: MR. STEVEN CHRISTOPHER SIMMONS, APRN
Title: VICE PRESIDENT OF CLINICAL CONTENT
Phone: (443) 896-6295

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Adult Health — Adult Health	363LA2200X
Nurse Practitioner - Family — Family	363LF0000X
Nurse Practitioner - Gerontology — Gerontology	363LG0600X
Nurse Practitioner	363L00000X	Primary

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