NPI 1154173466

Cheyenne Summerville, CERTIFIEDCOMMUNITY

Practitioner Community Health Worker Baltimore, MD

Practice location

Address: 120 Penn St, Baltimore, MD 21201-1082
Phone: (410) 706-2501
Fax: (410) 328-3379
Mailing address: 250 W Pratt St STE 880, Baltimore, MD 21201-6829

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence 01115-22-A (MD)

Other Community Health Worker providers in Maryland →

Registry record

NPI: 1154173466
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Apr 2024
Record last updated: 6 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.