Devine Family Care Practice LLC
NPI #1962219642 in Owings Mills, Maryland
Provider Information
- NPI Number
- 1962219642
- Entity Type
- Organization
- Organization Name
- Devine Family Care Practice LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DEVINE FAMILY CARE PRACTICE LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Dec 16, 2024
- Last Updated
- Dec 16, 2024
Practice Location
- Address
- 8890 MCDONOGH RD STE 211
- City
- Owings Mills
- State
- Maryland
- ZIP Code
- 21117-5397
- Phone
- (410) 963-9577
Authorized Official
- Name
- STELLA EBERE MBAH, DNP, CRNP, FNP-BC
- Title
- CHIEF MEDICAL OFFICER
- Phone
- (443) 200-5338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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