Organization
SKINVANA MEDSPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAHAR TAYLOR FNP-C (OWNER/MEDICAL DIRECTOR)
(267) 495-7118
Entity
Organization
Contact information
Practice address
12150 ANNAPOLIS RD STE 213, GLENN DALE, MD 20769-9183
(240) 704-0929
(240) 348-8277
Mailing address
12150 ANNAPOLIS RD STE 213, GLENN DALE, MD 20769-9183
(240) 704-0929
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
01/29/2025
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