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Organization
BELVEDERE MEDISPA
Active
Organization
BELVEDERE MEDISPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINETTE EKE NP (COFOUNDER)
(443) 928-7707
Entity
Organization
Contact information
Practice address
524 E BELVEDERE AVE STE A, BALTIMORE, MD 21212-3701
(443) 438-7168
Mailing address
524 E BELVEDERE AVE STE A, BALTIMORE, MD 21212-3701
(443) 438-7168
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
333600000X
Pharmacy
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/15/2021
Last updated
04/19/2021
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