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NU PATHWAY HEALTHCARE AND WELLNESS LLC NPI 1891329470


NPI Information

NPI: 1891329470
Provider Name: NU PATHWAY HEALTHCARE AND WELLNESS LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
14300 GALLANT FOX LN STE 202
BOWIE, MD
ZIP 20715
Phone: (301) 321-7741
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NU PATHWAY HEALTHCARE AND WELLNESS LLC is a family nurse practitioner in Bowie, MD. NU PATHWAY HEALTHCARE AND WELLNESS LLC NPI is 1891329470. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14300 GALLANT FOX LN STE 202
BOWIE, MD
ZIP 20715-033
Phone: (301) 321-7741
Fax: (301) 291-7071

The provider's authorized official is Owen Gardner .
The authorized official title is PRESIDENT & CEO& Ceo and has the following contact phone number (301) 928-4725.

The enumeration date for this NPI number is 2/23/2020 and was last updated on 4/5/2024.


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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3261QR0400XClinic/CenterRehabilitationNo
4310400000XAssisted Living FacilityNo
5314000000XSkilled Nursing FacilityNo
6363LA2200XNurse PractitionerAdult HealthNo
7363LF0000XNurse PractitionerFamilyYes
8363LG0600XNurse PractitionerGerontologyNo
9363LP2300XNurse PractitionerPrimary CareNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1207586501MEDICAIDMARYLAND
2051168998MEDICAIDDISTRICT OF COLUMBIA
3250695108MEDICAIDDELAWARE

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: 5/5/2024

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.