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LIVEWELL FAMILY CLINIC LLC NPI 1649760075


NPI Information

NPI: 1649760075
Provider Name: LIVEWELL FAMILY CLINIC LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
3611 BRANCH AVE STE 404
TEMPLE HILLS, MD
ZIP 20748
Phone: (240) 719-2587
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LIVEWELL FAMILY CLINIC LLC is a family nurse practitioner in Temple Hills, MD. LIVEWELL FAMILY CLINIC LLC NPI is 1649760075. The provider is registered as an organization entity type.

The provider's business location address is:

3611 BRANCH AVE STE 404
TEMPLE HILLS, MD
ZIP 20748
Phone: (240) 719-2587
Fax: (240) 830-2320

The provider's authorized official is Betty E Arkhurst .
The authorized official title is Secretary and has the following contact phone number (301) 613-0529.

The enumeration date for this NPI number is 5/10/2018 and was last updated on 2/1/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareR190895MARYLANDNo
2363LF0000XNurse PractitionerFamilyYes

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

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.