Provider Demographics
NPI:1376162362
Name:NEMER, THOMAS II (NP-C)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:
Last Name:NEMER
Suffix:II
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9114 PHILADELPHIA RD
Mailing Address - Street 2:STE 214
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-4348
Mailing Address - Country:US
Mailing Address - Phone:443-231-5711
Mailing Address - Fax:
Practice Address - Street 1:2225 OLD EMMORTON RD STE 111
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6122
Practice Address - Country:US
Practice Address - Phone:443-987-6998
Practice Address - Fax:443-557-6699
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-10
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR181585363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health