Organization
MINDFUL MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISHA-LEIGH PORTER CRNP (OWNER/NP)
(443) 379-4410
Entity
Organization
Contact information
Practice address
7404 EXECUTIVE PL STE 100, LANHAM, MD 20706-6237
(443) 379-4410
Mailing address
7404 EXECUTIVE PLACE, STE 100, LANHAM, MD 20706
(443) 379-4410
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
05/24/2021
Last updated
07/02/2021
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