NPI | 1528419561 |
---|---|
Doing Business As | NEW ERA WELLNESS |
Entity Type | Organization |
Authorized Contact | MYRTIS MARVELL-MCCAIN AGEN-DAVIS Family Nurse Practitioner 410-775-6394 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R157786) |
Enumeration Date | 2016-06-30 |
Last Update Date | 2022-07-21 |