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Organization

NURSE PRACTITIONER SUPPORT

Active
Other names
Nurse Practitioner Services
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAURA BEHM DNP, FNP-C (CO-OWNER, NURSE PRACTITIONER)
(240) 257-5436
Entity
Organization

Contact information

Practice address
1 SAINT MARYS AVE # 101, LA PLATA, MD 20646-4037
(240) 257-5436
Mailing address
1 SAINT MARYS AVE STE 101, LA PLATA, MD 20646-4037
(240) 257-5436
(301) 327-5432

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
799731100
MD
Enumeration date
08/18/2020
Last updated
08/05/2024
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