Organization
NEW WAVE IN HOME MEDICAL CARE
Active
Other names
New Wave in Home Medical Care
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE C HENNE-REESE CRNP (FAMILY NURSE PRACTITIONER)
(667) 358-0287
Entity
Organization
Contact information
Practice address
129 BANBRIDGE AVE, CENTREVILLE, MD 21617-2346
(667) 358-0287
Mailing address
129 BANBRIDGE AVE, CENTREVILLE, MD 21617-2346
(667) 358-0287
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
09/05/2023
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