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FREE STATE PRIMARY CARE LLC
NPI 1013690965
Nurse Practitioner - Family in Gambrills, MD

Active since August 08, 2023
741 ANNAPOLIS RD, GAMBRILLS, MD 21054(240) 647-9049 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Free State Primary Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREE STATE PRIMARY CARE LLC (NPI 1013690965) is a healthcare organization registered as a family in Gambrills, Maryland and active in the NPI registry since August 2023. The organization maintains a secondary practice location in Crownsville and lists Jennifer Sunday, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1013690965
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFREE STATE PRIMARY CARE LLC
Location Address741 ANNAPOLIS RDGambrills, MD 21054-1308
Mailing Address365 W Patrick St Fl 205Frederick, MD 21701-5093 · (240) 647-9049
Phone(240) 647-9049
Organization SubpartNo
Authorized OfficialJennifer SundayOffice Manager · (301) 788-2427
Enumeration DateAugust 8, 2023
NPPES CertifiedAugust 8, 2023
✔ NPI 1013690965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
741 ANNAPOLIS RD, Gambrills, MD 21054
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Secondary Practice Location 1

Location 143 Community PlCrownsville, MD 21032-2034 · Phone (240) 647-9049

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT A. PASCAL YOUTH & FAMILY SERVICES, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
741 ANNAPOLIS RD
GAMBRILLS, MD 21054
Anne Arundel County (410) 975-0067
ROBERT A. PASCAL YOUTH AND FAMILY SERVICES, INC.
Community/Behavioral Health
741 ANNAPOLIS RD
GAMBRILLS, MD 21054
Anne Arundel County (410) 975-0067
ROBERT A. PASCAL YOUTH AND FAMILY SERVICES, INC.
Community/Behavioral Health
741 ANNAPOLIS RD
GAMBRILLS, MD 21054
Anne Arundel County (410) 975-0067
ROBERT A. PASCAL YOUTH AND FAMILY SERVICES, INC.
Counselor (Mental Health)
741 ANNAPOLIS RD
GAMBRILLS, MD 21054
Anne Arundel County (410) 975-0067
MRS. KATHERINE ANN BONINCONTRI LCPC
Counselor (Mental Health)
741 ANNAPOLIS RD
GAMBRILLS, MD 21054
Anne Arundel County (410) 975-0067
ROBERT A. PASCAL YOUTH & FAMILY SERVICES, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
741 ANNAPOLIS RD
GAMBRILLS, MD 21054
Anne Arundel County (410) 975-0067

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Free State Primary Care LLC's NPI number?

The NPI number for Free State Primary Care LLC is 1013690965. It was assigned to this organization in the NPPES registry on August 8, 2023.

Where is Free State Primary Care LLC located?

Free State Primary Care LLC is located at 741 Annapolis Rd, Gambrills, MD 21054. The listed phone number is (240) 647-9049.

What is Free State Primary Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Free State Primary Care LLC was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.