| NPI | 1992554851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN GARDNER Owner & President 301-928-4725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-14 |