Provider Demographics
NPI:1831702539
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:OWNER
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:CRNP-FNP
Authorized Official - Phone:410-766-9413
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:410-518-8668
Mailing Address - Fax:
Practice Address - Street 1:7678 QUARTERFIELD RD STE 201
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-7071
Practice Address - Country:US
Practice Address - Phone:410-766-9713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty