Advanced Practice Wellness, LLC
Nurse Practitioner, Pediatrics in Gaithersburg, MD. Organization (NPI-2).
NPI number1841845351
StatusActive
Last updated in NPPESDec 30, 2020
Details
- NPI
- 1841845351
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Practice Wellness, LLC
- Organization subpart
- No
- Enumeration date
- Aug 2, 2019
- Certification date
- Dec 30, 2020
- Last updated
- Dec 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | – | – | Yes |
Practice location
Washingtonian Blvd Ste 550Gaithersburg, MD 20878
Phone 240-230-7170
Mailing address
111 Washington Grove Ln Unit 221Washington Grove, MD 20880-7508
Authorized official
Mercedes Lynn Thomas
Ceo
4046356175
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