ARUNDEL GREEN HEALTHCARE INC NPI 1821674789

NPI Information

ARUNDEL GREEN HEALTHCARE, INC is a primary care nurse practitioner in Columbia, MD. ARUNDEL GREEN HEALTHCARE, INC NPI is 1821674789. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8860 COLUMBIA 100 PKWY STE 210
COLUMBIA, MD
ZIP 21045-383
Phone: (301) 957-0372
Fax: (855) 719-2492

The provider's authorized official is Linda Dennis .
The authorized official title is President /owner and has the following contact phone number (301) 957-0372.

The CLIA number assigned to this NPI record is 21D2234609 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2021 and was last updated on 7/19/2021.

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:

Other Identifiers

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