Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Mountain Community Health LLC

Organization Family Nurse Practitioner · NPI 1932388493

South Mountain Community Health LLC is a Family Nurse Practitioner in Boonsboro, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9 Saint Paul St Ste 3
Boonsboro, MD 21713
Phone: (301) 432-6897
Fax: (301) 432-6298
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R100650 (MD)

Record details

NPI number1932388493
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracey Elizalde — Owner · (301) 432-6897
NPI enumeratedOctober 31, 2007
Last updated in NPPESJuly 23, 2018
Mailing address9 Saint Paul St, 2nd Floor, Boonsboro, MD 21713-1334

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