Provider Demographics
NPI:1831703677
Name:HANDS OF HEALTH PRIMARY CARE
Entity type:Organization
Organization Name:HANDS OF HEALTH PRIMARY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIA
Authorized Official - Middle Name:LYNAE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:443-558-8532
Mailing Address - Street 1:4101 GLENHUNT RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-1705
Mailing Address - Country:US
Mailing Address - Phone:443-558-8532
Mailing Address - Fax:
Practice Address - Street 1:4101 GLENHUNT RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-1705
Practice Address - Country:US
Practice Address - Phone:443-558-8532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty