Organization
EVOLVE HEALTH PARTNERS
Active
Organization
EVOLVE HEALTH PARTNERS
Active
Parent organization
EVOLVE HEALTH PARTNERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVOLVE HEALTH PARTNERS
Authorized official
JESSIE COSTLEY (ADMINISTRATOR)
(443) 548-3733
Entity
Organization
Contact information
Practice address
2528 MOUNTAIN RD STE 101, PASADENA, MD 21122-7202
(443) 798-7778
(410) 360-1675
Mailing address
2528 MOUNTAIN RD STE 101, PASADENA, MD 21122-7202
(443) 798-7778
(410) 360-1675
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317219800
—
MD
Enumeration date
05/03/2022
Last updated
09/29/2023
Update your record
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