Organization
AVEON MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATOE GOBA (NURSE PRACTITIONER/OWNER)
1
Entity
Organization
Contact information
Practice address
5850 WATERLOO RD STE 140, COLUMBIA, MD 21045-1944
(410) 480-7098
Mailing address
5850 WATERLOO RD STE 140, COLUMBIA, MD 21045-1944
(410) 480-7098
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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