Organization
NU PATHWAY HEALTHCARE AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN GARDNER (OWNER & CEO)
(301) 928-4725
Entity
Organization
Contact information
Practice address
200 MORGNEC RD, CHESTERTOWN, MD 21620-1026
(202) 932-8149
(301) 291-7071
Mailing address
14300 GALLANT FOX LN STE 202, BOWIE, MD 20715-4033
(202) 932-8149
(301) 291-7071
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207586502
—
MD
Enumeration date
02/10/2025
Last updated
02/10/2025
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