Organization
DEVINE FAMILY CARE PRACTICE LLC
Active
Parent organization
DEVINE FAMILY CARE PRACTICE LLC
Other names
Devine Family Care Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEVINE FAMILY CARE PRACTICE LLC
Authorized official
STELLA EBERE MBAH DNP, CRNP, FNP-BC (CHIEF MEDICAL OFFICER)
(443) 200-5338
Entity
Organization
Contact information
Practice address
8890 MCDONOGH RD STE 211, OWINGS MILLS, MD 21117-5397
(410) 963-9577
Mailing address
8890 MCDONOGH RD STE 211, OWINGS MILLS, MD 21117-5397
(410) 963-9577
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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