Premier Physician Group, Llc in Baltimore - Nurse Practitioner
Premier Physician Group, Llc - NPI 1801064704
Premier Physician Group, Llc is a Nurse Practitioner in Baltimore, Maryland. Premier Physician Group, Llc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Premier Physician Group, Llc is 1801064704. The last update date is 2008-11-13.
Premier Physician Group, Llc's current location address is Po Box 791372, Baltimore, Maryland. You can contact this provider via phone number 3018966931 and fax number 3015810077. The mailing address for Premier Physician Group, Llc is Po Box 791372, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Premier Physician Group, Llc |
|---|---|
| Address | Po Box 791372, Baltimore, Maryland |
| Phone Number | 3018966931 |
| Fax Number | 3015810077 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Poffenroth G Matthew |
| Telephone Number | 3018966900 |
NPI Number Detail
| NPI Number | 1801064704 |
|---|---|
| Provider Enumeration Date | 2008-02-13 |
| Last Updated Date | 2008-11-13 |
Provider Mailing Address Detail
| Address | Po Box 791372 |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212791372 |
| Phone Number | 3018966931 |
| Fax Number | 3015810077 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 415096100 | MD | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Premier Physician Group, Llc?
The Premier Physician Group, Llc has been issued the NPI (National Provider Identifier) 1801064704 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Premier Physician Group, Llc is located?
The Premier Physician Group, Llc is situated at the following address: Po Box 791372, Baltimore, MD, 212791372.
What is Premier Physician Group, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Premier Physician Group, Llc is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.
On what date did Premier Physician Group, Llc receive its 1801064704 assignment from the Centers for Medicare & Medicaid Services?
The Premier Physician Group, Llc was assigned its 1801064704 on 2008-02-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Premier Physician Group, Llc most recently updated or refreshed?
The details pertaining to the Premier Physician Group, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-11-13.
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