Healthcare Provider Details
I. General information
NPI: 1720623069
Provider Name (Legal Business Name): URGENT CARE 2 YOU, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/11/2019
Last Update Date: 11/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15485 PRINCE FREDERICK RD # 102
HUGHESVILLE MD
20637-9998
US
IV. Provider business mailing address
6279 BAYWOOD CT
HUGHESVILLE MD
20637-2575
US
V. Phone/Fax
- Phone: 301-814-8228
- Fax: 240-257-2187
- Phone: 301-814-8228
- Fax: 240-257-2187
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARIA ROSARIO
AGUSTIN
DE LA CRUZ
Title or Position: NP
Credential: NP
Phone: 240-441-2050