Organization
MOUNTAIN VIEW WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BROOKE BAULER CRNP (NURSE PRACTITIONER/OWNER)
(240) 738-0954
Entity
Organization
Contact information
Practice address
117 W MAIN ST, HANCOCK, MD 21750-1416
(240) 738-0953
(301) 238-7386
Mailing address
PO BOX 122, HANCOCK, MD 21750-0122
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN97594
APRN-CNP
WV
01
—
R229244
CRNP
MD
Enumeration date
09/08/2023
Last updated
11/08/2023
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