Healthcare Provider Details

I. General information

NPI: 1649134990
Provider Name (Legal Business Name): HIGHLAND HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 LIKENS ST
WESTERNPORT MD
21562-1809
US

IV. Provider business mailing address

304 LIKENS ST
WESTERNPORT MD
21562-1809
US

V. Phone/Fax

Practice location:
  • Phone: 240-727-0605
  • Fax:
Mailing address:
  • Phone: 240-727-0605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ERICA MARIE VANMETER
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 240-727-0605