Provider Demographics
NPI:1437761467
Name:ANCHOR HEALTH SERVICES LLC
Entity type:Organization
Organization Name:ANCHOR HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:JAUREGUI
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:410-627-9282
Mailing Address - Street 1:39 STEPNEY LN UNIT 1781
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:MD
Mailing Address - Zip Code:21037-8572
Mailing Address - Country:US
Mailing Address - Phone:410-627-9282
Mailing Address - Fax:
Practice Address - Street 1:1650 ELKRIDGE DR
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:MD
Practice Address - Zip Code:21037-1831
Practice Address - Country:US
Practice Address - Phone:410-627-9282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-20
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty