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Organization

NEW ERA WELLNESS, LLC

Active
Other names
New Era Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MYRTIS MARVELL-MCCAIN AGEN-DAVIS PMHNP-BC, FNP-C (FAMILY NURSE PRACTITIONER)
(410) 775-6394
Entity
Organization

Contact information

Practice address
5411 OLD FREDERICK RD STE 2, BALTIMORE, MD 21229-2126
(410) 775-6394
Mailing address
5411 OLD FREDERICK RD STE 2, BALTIMORE, MD 21229-2126
(410) 775-6394
(410) 881-2477

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R157786
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
056072300
MD
Enumeration date
06/30/2016
Last updated
07/24/2025
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