Nu Pathway Healthcare And Wellness LLC
Nurse Practitioner, Psych/Mental Health in Princess Anne, MD. Organization (NPI-2).
NPI number1770298630
StatusActive
Last updated in NPPESJan 19, 2023
Details
- NPI
- 1770298630
- Entity type
- Organization (NPI-2)
- Legal business name
- Nu Pathway Healthcare And Wellness LLC
- Organization subpart
- No
- Enumeration date
- Jan 16, 2023
- Certification date
- Jan 19, 2023
- Last updated
- Jan 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 314000000X | Skilled Nursing Facility | – | – |
Practice location
11974 Edgehill Terrace RdPrincess Anne, MD 21853-2105
Phone 301-321-7741 · Fax 301-291-7071
Mailing address
14300 Gallant Fox Ln Ste 202Bowie, MD 20715-4033
Phone 301-321-7741 · Fax 301-291-7071
Authorized official
Owen Gardner
Owner
3019284725
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