| NPI | 1013463561 |
|---|---|
| Doing Business As | NURSE MANAGED WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANNA KEPHART Office Manager 301-784-5670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R081546) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: MD 21D2093034) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R095433) | |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2017-04-28 |