Porter Cares Provider Network PA

NPI #1760294243 in Baltimore, Maryland

Provider Information

NPI Number: 1760294243
Entity Type: Organization
Organization Name: Porter Cares Provider Network PA
Primary Specialty: Nurse Practitioner
Enumeration Date: Jan 22, 2025
Last Updated: Jan 22, 2025

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, FNP-BC
Title: PRESIDENT
Phone: (443) 896-6295

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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