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

The Practitioner Provider LLC

Organization Nurse Practitioner · NPI 1083587562

The Practitioner Provider LLC is a Nurse Practitioner in Taneytown, Maryland. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

533 Bull Run Rd
Taneytown, MD 21787-2659
Phone: (443) 824-9331
Show map & directions

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

Additional practice locations (1)

  • 6340 Security Blvd # 1503, Baltimore, MD 21207-5173 — (443) 824-9331

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1083587562
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chloe Parker — Owner · (443) 824-9331
NPI enumeratedSeptember 29, 2025
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address6340 Security Blvd # 1503, Baltimore, MD 21207-5173