Organization
NU PATHWAY HEALTHCARE AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN GARDNER (OWNER)
(301) 928-4725
Entity
Organization
Contact information
Practice address
12000 TRADITIONS BLVD, BOWIE, MD 20720-3658
(202) 932-8149
(301) 291-7071
Mailing address
14300 GALLANT FOX LN STE 202, BOWIE, MD 20715-4033
(202) 932-1841
(301) 291-7071
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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