Organization
NEIGHBORHOOD NURSE
Active
Other names
Diverse Health
Organization subpart
No
Provider details
NPI number
Authorized official
TIMIKA FISHER FNP (DIRECTOR)
(443) 529-2027
Entity
Organization
Contact information
Practice address
3421 GENTLE BREEZE DR STE A, UPPER MARLBORO, MD 20772-2549
(443) 529-2027
Mailing address
3421 GENTLE BREEZE DR, UPPER MARLBORO, MD 20772-2549
(443) 529-2027
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
332U00000X
Home Delivered Meals
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889039100
—
MD
Enumeration date
03/03/2021
Last updated
02/12/2025
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