MOUNTAIN VIEW WELLNESS LLC NPI 1033996673

NPI Information

NPI: 1033996673
Provider Name: MOUNTAIN VIEW WELLNESS, LLC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
CLIA Number: 21D2297106
Address: 117 W MAIN ST
HANCOCK, MD
ZIP 21750
Phone: (240) 738-0953

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NPI Details

MOUNTAIN VIEW WELLNESS, LLC is a primary care clinic center in Hancock, MD. MOUNTAIN VIEW WELLNESS, LLC NPI is 1033996673. The provider is registered as an organization entity type.

The provider's business location address is:

117 W MAIN ST
HANCOCK, MD
ZIP 21750-416
Phone: (240) 738-0953
Fax: (301) 238-7386

The provider's authorized official is Amanda Brooke Bauler .
The authorized official title is Nurse Practitioner/owner and has the following contact phone number (240) 738-0954.

The CLIA number assigned to this NPI record is 21D2297106 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2023 and was last updated on 11/8/2023.

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	261QP2300X	Clinic/Center	Primary Care			Yes

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
1	R229244	OTHER	MARYLAND	CRNP
2	APRN97594	OTHER	WEST VIRGINIA	APRN-CNP

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: 3/30/2025

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