Provider Demographics
NPI:1831612241
Name:SEVEN 2 SEVEN MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:SEVEN 2 SEVEN MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNP
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:STERLING-HARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:410-508-8668
Mailing Address - Street 1:1512 WAMPANOAG DR
Mailing Address - Street 2:
Mailing Address - City:SEVERN
Mailing Address - State:MD
Mailing Address - Zip Code:21144-3417
Mailing Address - Country:US
Mailing Address - Phone:410-508-8668
Mailing Address - Fax:410-551-0558
Practice Address - Street 1:1512 WAMPANOAG DR
Practice Address - Street 2:
Practice Address - City:SEVERN
Practice Address - State:MD
Practice Address - Zip Code:21144-3417
Practice Address - Country:US
Practice Address - Phone:410-508-8668
Practice Address - Fax:410-551-0558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty