The Practitioner Provider L.l.c

NPI #1083587562 in Baltimore, Maryland

Provider Information

NPI Number: 1083587562
Entity Type: Organization
Organization Name: The Practitioner Provider L.l.c
Primary Specialty: Nurse Practitioner
Enumeration Date: Sep 29, 2025
Last Updated: Sep 29, 2025

Practice Location

Address: 6340 SECURITY BLVD # 1503
Address 2: 1503
City: Baltimore
State: Maryland
ZIP Code: 21207-5173
Phone: (443) 824-9331

Authorized Official

Name: CHLOE J PARKER, CRNP
Title: OWNER
Phone: (443) 824-9331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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