Nirvana Holistic Spa LLC
Family Medicine in Berwyn Heights, MD. Organization (NPI-2).
NPI number1831900141
StatusActive
Last updated in NPPESJul 28, 2025
Details
- NPI
- 1831900141
- Entity type
- Organization (NPI-2)
- Legal business name
- Nirvana Holistic Spa LLC
- Organization subpart
- Yes
- Enumeration date
- Jan 16, 2025
- Certification date
- Jul 28, 2025
- Last updated
- Jul 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 163W00000X | Registered Nurse | – | – | |
| 175F00000X | Naturopath | – | – |
Other names
- Nirvana Holistic Medicine (Doing Business As)
Practice location
6201 Greenbelt Rd Ste U7Berwyn Heights, MD 20740-2361
Phone 301-798-7687 · Fax 800-297-9152
Mailing address
6201 Greenbelt Rd Ste U7Berwyn Heights, MD 20740-2361
Phone 301-798-7687 · Fax 800-297-9152
Authorized official
Shaundel Knights
Owner
3017987687
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Medicine Physician providers in Berwyn Heights, MD
- Jamal Fadul, M.D.NPI 1427080589
- Med-Ped Health Care LLCNPI 1336296730
- Salvador Sylvester, M.DNPI 1154478865
- T And T Healthcare, INC.NPI 1558326090
- United Medical Center, LLCNPI 1790831345
All 6 Family Medicine Physician providers in Berwyn Heights · All 162 providers in Berwyn Heights
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.