Organization
ALLEGANY COLLEGE OF MARYLAND
Active
Parent organization
ALLEGANY COLLEGE OF MARYLAND NURSE MANAGED WELLNESS CLINIC
Other names
Nurse Managed Wellness Clinic LAB
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLEGANY COLLEGE OF MARYLAND NURSE MANAGED WELLNESS CLINIC
Authorized official
MRS. ANNA M KEPHART (OFFICE MANAGER)
(301) 784-5670
Entity
Organization
Contact information
Practice address
12401 WILLOWBROOK RD, ALLIED HEALTH BUILDING, ROOM 115, CUMBERLAND, MD 21502-2559
(301) 784-5670
(301) 784-5093
Mailing address
12401 WILLOWBROOK RD, ALLIED HEALTH BUILDING, ROOM 115, CUMBERLAND, MD 21502-2559
(301) 784-5670
(301) 784-5093
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R081546
MD
363LF0000X
Family Nurse Practitioner
Primary
R095433
MD
Other
Enumeration date
11/08/2016
Last updated
04/18/2017
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