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CENTREVILLE FAMILY PRACTICE LLC
NPI 1881332088
Nurse Practitioner - Family in Chestertown, MD

Active since May 26, 2022
120 SPEER RD STE 2, CHESTERTOWN, MD 21620(410) 778-1311(414) 077-8062 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2023, May 26, 2022 (2 updates tracked since 2022).

About Centreville Family Practice Llc NPPES

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

CENTREVILLE FAMILY PRACTICE LLC (NPI 1881332088) is a healthcare organization registered as a family in Chestertown, Maryland and active in the NPI registry since May 2022. The organization lists Angela Marie Lunczynski, Owner, as its authorized official.

NPPES Registry Identity

NPI1881332088
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCENTREVILLE FAMILY PRACTICE LLC
Location Address120 SPEER RD STE 2Chestertown, MD 21620-1085
Mailing Address120 Speer Rd Ste 2Chestertown, MD 21620-1085 · (410) 778-1311 · Fax (410) 778-0623
Phone(410) 778-1311
Fax(414) 077-8062
Organization SubpartNo
Authorized OfficialAngela Marie LunczynskiOwner · (410) 778-1311
Enumeration DateMay 26, 2022
Last NPPES UpdateJune 8, 20232 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
✔ NPI 1881332088 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
120 SPEER RD STE 2, Chestertown, MD 21620
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Other Identifiers 1

Medicaid1508800095MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Centreville Family Practice LLC's NPI number?

The NPI number for Centreville Family Practice LLC is 1881332088. It was assigned to this organization in the NPPES registry on May 26, 2022.

Where is Centreville Family Practice LLC located?

Centreville Family Practice LLC is located at 120 Speer Rd Ste 2, Chestertown, MD 21620. The listed phone number is (410) 778-1311.

What is Centreville Family Practice 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 Centreville Family Practice LLC was last updated on June 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.