| Integrative Family NP LLC | |
|
815 Ritchie Hwy Ste 120 Severna Park MD 21146-4192 | |
| (443) 534-4793 | |
| (443) 557-3238 |
| Full Name | Integrative Family NP LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 815 Ritchie Hwy Ste 120, Severna Park, Maryland |
| Authorized Official Name and Position | Katherine Elizabeth Grote (OWNER, NURSE PRACTITIONER) |
| Authorized Official Contact | 4435344793 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Family NP LLC 815 Ritchie Hwy Ste 120 Severna Park MD 21146-4192 Ph: (443) 534-4793 | Integrative Family NP LLC 815 Ritchie Hwy Ste 120 Severna Park MD 21146-4192 Ph: (443) 534-4793 |
| NPI Number | 1831916725 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 03/17/2025 |
| Certification Date | 03/17/2025 |
| Medicare PECOS PAC ID | 8729580840 |
|---|---|
| Medicare Enrollment ID | O20250908002166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831916725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Katherine E Grote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750847414 PECOS PAC ID: 8527301290 Enrollment ID: I20201214002328 |
| Provider Name | Jessica Lynn Poretz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043181225 PECOS PAC ID: 5890271977 Enrollment ID: I20260108001276 |
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