Organization
RESTORE HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN MBI (FNP)
(240) 644-2502
Entity
Organization
Contact information
Practice address
15017 NORTHCOTE LN, BOWIE, MD 20716-1044
(124) 064-4250
Mailing address
15017 NORTHCOTE LN, BOWIE, MD 20716-1044
(240) 644-2502
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
08/02/2022
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