| NPI | 1427590488 |
|---|---|
| Doing Business As | NURSE MANAGED WELLNESS CLINIC LAB |
| Entity Type | Organization |
| Authorized Contact | ANNA M KEPHART Office Manager 301-784-5670 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R095433) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R081546) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2017-04-18 |