Organization
SUMMER BREEZE MENOPAUSE & HORMONE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMMER MCKISSICK MSN, CRNP, A-GNP-C (NURSE PRACTITIONER)
(443) 205-6356
Entity
Organization
Contact information
Practice address
1815 FAWN WAY, FINKSBURG, MD 21048-2020
(443) 205-6356
Mailing address
1815 FAWN WAY, FINKSBURG, MD 21048-2020
(443) 205-6356
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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