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Organization

PRIMARY HEALTHCARE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TASHANA JOHNSON CRNP, APRN (NURSE PRACTITIONER)
(443) 986-2279
Entity
Organization

Contact information

Practice address
8115 MAPLE LAWN BLVD STE 350, FULTON, MD 20759-2683
(443) 986-2279
Mailing address
7715 ALASTOR CT, ELKRIDGE, MD 21075-8157

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
03/01/2019
Last updated
03/01/2019
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Product
  • Claims
  • Eligibility checks
  • EDI platform