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Organization
PROVIDER PARTNERS CARE MANAGEMENT LP
Active
Organization
PROVIDER PARTNERS CARE MANAGEMENT LP
Active
Other names
PHILADELPHIA NURSE PRACTITIONERS, LP
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH DOUGLAS PERSINGER (CHIEF OPERATING OFFICE)
(410) 456-3946
Entity
Organization
Contact information
Practice address
8820 COLUMBIA 100 PKWY STE 430, COLUMBIA, MD 21045-2175
(443) 275-9800
Mailing address
8820 COLUMBIA 100 PKWY STE 430, COLUMBIA, MD 21045-2175
(410) 967-2097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/02/2013
Last updated
05/21/2026
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