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Organization

PORTER CARES MARYLAND, LLC

Active
Parent organization
PORTER CARES, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PORTER CARES, INC
Authorized official
MR. STEVEN CHRISTOPHER SIMMONS APRN (VICE PRESIDENT OF CLINICAL CONTENT)
(443) 896-6295
Entity
Organization

Contact information

Practice address
300 E LOMBARD ST STE 840, BALTIMORE, MD 21202-3231
(443) 896-6295
Mailing address
300 E LOMBARD ST STE 840, BALTIMORE, MD 21202-3231
(443) 896-6295

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
363LA2200X
Adult Health Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LG0600X
Gerontology Nurse Practitioner

Other

Enumeration date
01/20/2023
Last updated
01/20/2023
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