# SUMMER BREEZE MENOPAUSE & HORMONE CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063389864
- **Authorized official:** SUMMER MCKISSICK MSN, CRNP, A-GNP-C (NURSE PRACTITIONER)
- **Authorized official phone:** (443) 205-6356

## Contact information

- **Practice address:** 1815 FAWN WAY, FINKSBURG, MD 21048-2020
- **Practice address phone:** (443) 205-6356
- **Mailing address:** 1815 FAWN WAY, FINKSBURG, MD 21048-2020
- **Mailing address phone:** (443) 205-6356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/17/2025
- **Last updated:** 10/17/2025