Organization
FREE STATE HEALTH AND WELLNESS, LLC
Active
Parent organization
FREE STATE HEALTH AND WELLNESS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREE STATE HEALTH AND WELLNESS, LLC
Authorized official
MELISSA WARD (OWNER)
(240) 647-9049
Entity
Organization
Contact information
Practice address
5 N BENTZ ST, FREDERICK, MD 21701-4913
(240) 647-9049
Mailing address
5 N BENTZ ST, FREDERICK, MD 21701-4913
(240) 647-9049
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
03/16/2023
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