# PROMETHEAN HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1639005267
- **Authorized official:** KISUN PETERS-DIAZ (FOUNDER / OWNER)
- **Authorized official phone:** (917) 861-2531

## Contact information

- **Practice address:** 6609 FAIRMOUNT AVE, BALTIMORE, MD 21215-1906
- **Practice address phone:** (917) 861-2531
- **Mailing address:** 1019 MIDLAND AVE, YORK, PA 17403-3339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/22/2026
- **Last updated:** 06/22/2026