Organization
MDF LLC
Active
Other names
Evolve Direct Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN BOND CRNP (NURSE PRACTITIONER)
(844) 322-4222
Entity
Organization
Contact information
Practice address
509 S CHERRY GROVE AVE STE C, ANNAPOLIS, MD 21401-4235
(844) 322-4222
(443) 400-0509
Mailing address
509 S CHERRY GROVE AVE STE C, ANNAPOLIS, MD 21401-4235
(844) 322-4222
(443) 400-0509
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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