Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PERIDOT PRIMARY CARE, LLC
Active OrganizationPERIDOT PRIMARY CARE, LLC is a Family Nurse Practitioner organization located in CLARKSBURG, Maryland. NPI 1356957252 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · CLARKSBURG, MD
Registration Details
- NPI Number
- 1356957252
- Provider Type
- Organization
- NPI Issued
- Sep 17, 2020 (5.8866836420517 yrs)
- Last Updated
- Jan 11, 2022
Practice Information
- Address
-
23202 BREWERS TAVERN WAYCLARKSBURG, MD, 208714391Browse MD providers · Browse ZIP 20871
- Phone
- 3012152309
- Fax
- 8559423275
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.