# NU PATHWAY HEALTHCARE AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225819261
- **Authorized official:** OWEN GARDNER (OWNER)
- **Authorized official phone:** (301) 928-4725

## Contact information

- **Practice address:** 8111 TIS WELL DR, ALEXANDRIA, VA 22306-3211
- **Practice address phone:** (301) 321-7741
- **Practice address fax:** (301) 291-7071
- **Mailing address:** 14300 GALLANT FOX LN STE 202, BOWIE, MD 20715-4033
- **Mailing address phone:** (301) 321-7741
- **Mailing address fax:** (301) 291-7071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2023
- **Last updated:** 10/06/2023