Organization
TUERK HOUSE, INC
Active
Parent organization
TUERK HOUSE, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TUERK HOUSE, INC
Authorized official
VANESSA LYLE (BILLING MANAGER)
(667) 212-3626
Entity
Organization
Contact information
Practice address
730 N ASHBURTON ST, BALTIMORE, MD 21216-4703
(667) 212-3626
Mailing address
730 N ASHBURTON ST, BALTIMORE, MD 21216-4703
(667) 212-3626
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LC1500X
Community Health Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210511066
BHA
MD
Enumeration date
01/12/2022
Last updated
03/07/2022
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