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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