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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
2015 E WEST HWY, SILVER SPRING, MD 20910-2602
(301) 321-7741
(301) 291-7071
Mailing address
14300 GALLANT FOX LN STE 202, BOWIE, MD 20715-4033
(301) 321-7741
(301) 291-7071

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
314000000X
Skilled Nursing Facility
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
209972100
MD
Enumeration date
01/16/2023
Last updated
07/10/2024
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