Fitzgerald Primary Care Llc | |
1301 York Rd Ste 800 Lutherville MD 21093-6011 | |
(844) 481-0217 | |
Not Available |
Full Name | Fitzgerald Primary Care Llc |
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Speciality | Clinic/Center |
Location | 1301 York Rd Ste 800, Lutherville, Maryland |
Authorized Official Name and Position | Tarnisha Fitzgerald (SOLE PROPRIETOR) |
Authorized Official Contact | 4437637154 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fitzgerald Primary Care Llc 1301 York Rd Ste 800 Lutherville MD 21093-6011 Ph: (844) 481-0217 | Fitzgerald Primary Care Llc 1301 York Rd Ste 800 Lutherville MD 21093-6011 Ph: (844) 481-0217 |
NPI Number | 1902382252 |
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Provider Enumeration Date | 07/18/2018 |
Last Update Date | 03/29/2024 |
Medicare PECOS PAC ID | 7214285592 |
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Medicare Enrollment ID | O20180802001242 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902382252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (Maryland) | Primary |
Provider Name | Tarnisha L Fitzgerald |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164940656 PECOS PAC ID: 7214284645 Enrollment ID: I20180717001722 |
Provider Name | Walter Lewis Toller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760060636 PECOS PAC ID: 9537572839 Enrollment ID: I20210810000116 |
Provider Name | Kaddie Kallon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427519404 PECOS PAC ID: 6608204037 Enrollment ID: I20220907003491 |
Provider Name | Nicole S Queen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073238846 PECOS PAC ID: 0345694485 Enrollment ID: I20230925000139 |
Provider Name | Jennifer Margaret Laidley-kelly |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518742949 PECOS PAC ID: 4789901034 Enrollment ID: I20231120000098 |
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