Redefined Health And Wellness LLC
Nurse Practitioner, Primary Care in Temple Hills, MD. Organization (NPI-2).
NPI number1023948411
StatusActive
Last updated in NPPESMay 19, 2026
Details
- NPI
- 1023948411
- Entity type
- Organization (NPI-2)
- Legal business name
- Redefined Health And Wellness LLC
- Organization subpart
- No
- Enumeration date
- May 19, 2026
- Certification date
- May 19, 2026
- Last updated
- May 19, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | – | – | Yes |
Practice location
4508 Harvest RdTemple Hills, MD 20748-3612
Phone 202-945-2893 · Fax 240-628-7472
Mailing address
4508 Harvest RdTemple Hills, MD 20748-3612
Phone 202-945-2893 · Fax 240-628-7472
Authorized official
Reynaldo De La Cruz
Nurse Practitioner
2029452893
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