Rooted Healthcare, LLC
NPI #1205791761 in Sykesville, Maryland
Provider Information
- NPI Number
- 1205791761
- Entity Type
- Organization
- Organization Name
- Rooted Healthcare, LLC
- Primary Specialty
- Nurse Practitioner - Primary Care
- Enumeration Date
- Dec 17, 2025
- Last Updated
- Dec 17, 2025
Practice Location
- Address
- 7610 MAIN ST
- City
- Sykesville
- State
- Maryland
- ZIP Code
- 21784-7316
- Phone
- (443) 784-3116
Authorized Official
- Name
- KISUN PETERS-DIAZ
- Title
- EXECUTIVE DIRECTOR
- Phone
- (917) 861-2531
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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