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BRIDGES TO WELLNESS CENTRE LLC NPI 1083320899


NPI Information

NPI: 1083320899
Provider Name: BRIDGES TO WELLNESS CENTRE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
12522 GREAT PARK CIR APT 303
GERMANTOWN, MD
ZIP 20876
Phone: (848) 220-6659
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BRIDGES TO WELLNESS CENTRE LLC is a primary care clinic center in Germantown, MD. BRIDGES TO WELLNESS CENTRE LLC NPI is 1083320899. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12522 GREAT PARK CIR APT 303
GERMANTOWN, MD
ZIP 20876-985
Phone: (848) 220-6659

The provider's authorized official is Tammy L Cooper .
The authorized official title is Ceo/founder and has the following contact phone number (848) 220-6659.

The enumeration date for this NPI number is 1/25/2023 and was last updated on 12/21/2023.


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
1363LA2200XNurse PractitionerAdult HealthNo
2405300000XPrevention ProfessionalNo
3163WP0808XRegistered NursePsychiatric/Mental HealthNo
4261QP2300XClinic/CenterPrimary CareYes

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.