# NOVA VIDA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nova Vida Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245055193
- **Authorized official:** DR. NICOLE SANCHEZ DNP, CRNP, FNP-C (OWNER)
- **Authorized official phone:** (240) 883-6984

## Contact information

- **Practice address:** 12975 HIGHLAND RD UNIT 11, HIGHLAND, MD 20777-7501
- **Practice address phone:** (240) 883-6984
- **Mailing address:** 12975 HIGHLAND RD UNIT 11, HIGHLAND, MD 20777-7501
- **Mailing address phone:** (240) 883-6984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/16/2024
- **Last updated:** 11/16/2024