Provider Demographics
NPI:1467228395
Name:SYNERGISTIC HEALTHCARE, LLC
Entity Type:Organization
Organization Name:SYNERGISTIC HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:A
Authorized Official - Last Name:LAIGLE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:240-925-7997
Mailing Address - Street 1:PO BOX 5
Mailing Address - Street 2:
Mailing Address - City:VALLEY LEE
Mailing Address - State:MD
Mailing Address - Zip Code:20692-0005
Mailing Address - Country:US
Mailing Address - Phone:240-925-7997
Mailing Address - Fax:833-471-6056
Practice Address - Street 1:22780 THREE NOTCH RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON PARK
Practice Address - State:MD
Practice Address - Zip Code:20653
Practice Address - Country:US
Practice Address - Phone:301-737-0662
Practice Address - Fax:301-737-0675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty