Organization
NEIGHBORHOOD NURSE
Active
Other names
Diverse Health
Organization subpart
No
Provider details
NPI number
Authorized official
TIMIKA SHANTE FISHER NP (MEDICAL DIRECTOR)
(443) 529-2027
Entity
Organization
Contact information
Practice address
3421 GENTLE BREEZE DR STE A, UPPER MARLBORO, MD 20772-2549
(443) 529-2027
(240) 306-9503
Mailing address
3421 GENTLE BREEZE DR, UPPER MARLBORO, MD 20772-2549
(144) 352-9202
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
02/12/2025
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