MEDICARE: THE PRACTITIONER PROVIDER L.L.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1083587562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE PRACTITIONER PROVIDER L.L.C

Provider Business Mailing Address
First Line	:	6340 SECURITY BLVD # 1503
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21207-5173
Country	:	US
Telephone Number	:	443-824-9331
Fax Number	:

Provider Business Practice Location Address
First Line	:	533 BULL RUN RD
Second Line	:
City	:	TANEYTOWN
State	:	MD
Zip	:	21787-2659
Country	:	US
Telephone Number	:	443-824-9331
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHLOE J PARKER
Credential	:	CRNP
Telephone Number	:	443-824-9331

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	03/09/2026

Similar Medicare Providers

1316892383 — MRS. SARA JANE FANKHAUSER
Practice Location Address:

123 DIVERN ST
TANEYTOWN, MD
21787-2246

Practice Phone: 240-215-7372
Practice Fax:

1851194765 — BRIDGINGLIFE, INC
Practice Location Address:

3217 BERT KOONTZ RD
TANEYTOWN, MD
21787-1603

Practice Phone: 410-871-8000
Practice Fax:

1336942101 — BRIDGINGLIFE, INC
Practice Location Address:

100 ANTRIM BLVD
TANEYTOWN, MD
21787-2288

Practice Phone: 410-871-8000
Practice Fax:

1093714206 — JULIE ANN BAILEY-PLUMMER PT
Practice Location Address:

222 E BALTIMORE ST STE 103
TANEYTOWN, MD
21787-2279

Practice Phone: 410-756-1562
Practice Fax: 410-848-3939

1831190271 — LORIEN TANEYTOWN, INC
Practice Location Address:

100 ANTRIM BLVD
TANEYTOWN, MD
21787-2277

Practice Phone: 410-756-5884
Practice Fax: 410-756-5894

1174511885 — EDWARD E SAUBLE JR. OD
Practice Location Address:

6 ANTRIM ST
TANEYTOWN, MD
21787-2237

Practice Phone: 410-756-1160
Practice Fax:

Directions to “THE PRACTITIONER PROVIDER L.L.C ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.