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IMMUTECH-MIDATLANTIC, LLC
NPI 1740874627
Nurse Practitioner - Family in Windsor Mill, MD

Active since February 22, 2021
1940 WINDER RD, WINDSOR MILL, MD 21244(410) 215-2596 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 21, 2021, Feb 22, 2021 (2 updates tracked since 2021).

About Immutech-midatlantic, Llc NPPES

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

IMMUTECH-MIDATLANTIC, LLC (NPI 1740874627) is a healthcare organization registered as a family in Windsor Mill, Maryland and active in the NPI registry since February 2021. The organization lists Robin Buckner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740874627
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameIMMUTECH-MIDATLANTIC, LLC
Location Address1940 WINDER RDWindsor Mill, MD 21244-1729
Mailing Address1940 Winder RdWindsor Mill, MD 21244-1729 · (410) 215-2596
Phone(410) 215-2596
Organization SubpartNo
Authorized OfficialRobin BucknerCeo · (410) 215-2596
Enumeration DateFebruary 22, 2021
Last NPPES UpdateJuly 21, 20212 updates tracked since enumeration
NPPES CertifiedJuly 21, 2021
✔ NPI 1740874627 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
1940 WINDER RD, Windsor Mill, MD 21244
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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

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 Immutech-Midatlantic, LLC's NPI number?

The NPI number for Immutech-Midatlantic, LLC is 1740874627. It was assigned to this organization in the NPPES registry on February 22, 2021.

Where is Immutech-Midatlantic, LLC located?

Immutech-Midatlantic, LLC is located at 1940 Winder Rd, Windsor Mill, MD 21244. The listed phone number is (410) 215-2596.

What is Immutech-Midatlantic, 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 Immutech-Midatlantic, LLC was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.