Luminis Health Medical Group, LLC

Organization Active NPI Nurse Practitioner · Annapolis, MD

NPI 1821821968 · NPPES record last updated Aug 27, 2024

Key facts

NPI
1821821968
Entity type
Organization (NPI type 2)
Primary specialty
Nurse Practitioner 363L00000X
Legal business name
LUMINIS HEALTH MEDICAL GROUP, LLC
Practice address
175 Harry S Truman Pkwy
Annapolis, MD 21401-7573
Phone
(410) 573-9000
NPI assigned
Aug 23, 2024
Organization subpart
No

Authorized official

Name
Veronica King
Title
Lhce Cvo Manager
Phone
(677) 204-7211

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Anne Arundel Phys Group LLC (221 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363L00000X Yes

Addresses

Primary practice location

175 Harry S Truman Pkwy
Annapolis, MD 21401-7573

Mailing address

2000 Medical Pkwy Ste 409
Annapolis, MD 21401-3746
Phone (443) 481-5136

Other providers in Annapolis, MD

All providers in Annapolis, MD · Nurse Practitioner in Maryland

Sources for this page

Verify at the official NPI Registry.