# RESTORE WOUND CARE LLC

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

## Provider details

- **NPI number:** 1336077999
- **Authorized official:** NNEKA BAGWELL (MGR)
- **Authorized official phone:** (202) 716-2978

## Contact information

- **Practice address:** 1245 ORCHID RD, GAMBRILLS, MD 21054-1402
- **Practice address phone:** (202) 716-2978
- **Mailing address:** 1245 ORCHID RD, GAMBRILLS, MD 21054-1402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/12/2026
- **Last updated:** 05/12/2026