Individual
PHYLLIS A RUMORE-FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
23415 THREE NOTCH RD, CALIFORNIA, MD 20619-4017
(301) 373-7900
(301) 373-6900
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6421
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R153692
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406399601
—
MD
Enumeration date
11/04/2005
Last updated
04/06/2026
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