# MIDDLE RIVER HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MIDDLE RIVER HEALTHCARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255161402
- **Legal business name:** MIDDLE RIVER HEALTHCARE
- **Authorized official:** DR. JATU KARPEH (CEO)
- **Authorized official phone:** (443) 779-0546

## Contact information

- **Practice address:** 621 STEMMERS RUN RD STE B, ESSEX, MD 21221-3386
- **Practice address phone:** (443) 779-0546
- **Practice address fax:** (443) 559-8360
- **Mailing address:** 621 STEMMERS RUN RD STE B, ESSEX, MD 21221-3386
- **Mailing address phone:** (443) 779-0546
- **Mailing address fax:** (443) 559-8360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/02/2024
- **Last updated:** 08/02/2024