Individual
CHARITY ALLWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8101 SANDY SPRING RD STE 110, LAUREL, MD 20707-3596
(301) 455-4116
(240) 554-2345
Mailing address
7365 CEDAR AVE, JESSUP, MD 20794-9456
(301) 455-4116
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
R183253
MD
163WP0808X
Psychiatric/Mental Health Registered Nurse
R183253
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R183253
MD
Other
Enumeration date
06/21/2017
Last updated
04/11/2023
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