# EDGEWELLNESS LLC &NURSING SERVICES

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

## Provider details

- **NPI number:** 1619578168
- **Authorized official:** MR. GODWIN N NWOHA ACCOUNTANT (CHIEF EXECUTIVE)
- **Authorized official phone:** (443) 453-7412

## Contact information

- **Practice address:** 7416 HARFORD RD, BALTIMORE, MD 21234-7152
- **Practice address phone:** (443) 794-1039
- **Mailing address:** 6 SECRETARIAT CT, OWINGS MILLS, MD 21117-6155
- **Mailing address phone:** (443) 453-7412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2020
- **Last updated:** 11/02/2020