Organization
BREAKTHROUGH INTEGRATIVE CARE LLC
Active
Organization
BREAKTHROUGH INTEGRATIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN DYNELL WEST-PEARSON (NURSE PRACTITIONER)
(443) 902-1364
Entity
Organization
Contact information
Practice address
9712 BELAIR RD STE 301, NOTTINGHAM, MD 21236-1113
(443) 903-4874
(667) 868-0931
Mailing address
9712 BELAIR RD STE 301, NOTTINGHAM, MD 21236-1113
(443) 903-4874
(667) 868-0931
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/09/2023
Last updated
11/02/2024
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