Healthcare Provider Details

I. General information

NPI: 1114838380
Provider Name (Legal Business Name): BLUEPEAK REVENUE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7407 LESADA DR APT 1C
WINDSOR MILL MD
21244-4903
US

IV. Provider business mailing address

7407 LESADA DR APT 1C
WINDSOR MILL MD
21244-4903
US

V. Phone/Fax

Practice location:
  • Phone: 343-296-3341
  • Fax: 343-296-3341
Mailing address:
  • Phone: 343-296-3341
  • Fax: 343-296-3341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MELISSA DANIEL
Title or Position: MANAGER
Credential: PA
Phone: 343-296-3341