Organization
HARFORD MOBILE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE O NEWSOME CRNP (OWNER)
(443) 243-9371
Entity
Organization
Contact information
Practice address
1501 MORSE RD, FOREST HILL, MD 21050-1003
(443) 243-9371
Mailing address
1501 MORSE RD, FOREST HILL, MD 21050-1003
(443) 243-9371
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609107556
—
MD
01
—
R152794
MARYLAND BOARD OF NURSING
MD
Enumeration date
03/07/2023
Last updated
03/07/2023
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