REVERED-HOLISTIC HEALTHCARE LLC NPI 1700377876

NPI Information

NPI: 1700377876
Provider Name: REVERED-HOLISTIC HEALTHCARE LLC

Doing Business As: REVERED HOLISTIC HEALTHCARE LLC

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1045 TAYLOR AVE STE 44A
TOWSON, MD
ZIP 21286
Phone: (443) 621-2203
Get Directions

REVERED-HOLISTIC HEALTHCARE LLC is a family nurse practitioner in Towson, MD. REVERED-HOLISTIC HEALTHCARE LLC NPI is 1700377876. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Revered Holistic Healthcare Llc.

The provider's business location address is:

1045 TAYLOR AVE STE 44A
TOWSON, MD
ZIP 21286-328
Phone: (443) 621-2203
Fax: (410) 381-0216

The provider's authorized official is Adetutu Awodipe .
The authorized official title is Owner and has the following contact phone number (443) 621-2203.

The enumeration date for this NPI number is 5/24/2018 and was last updated on 6/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R194691	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »