Organization
NU PATHWAY HEALTHCARE AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN GARDNER (OWNER)
(301) 928-4725
Entity
Organization
Contact information
Practice address
4500 FORBES BLVD, LANHAM, MD 20706-6312
(202) 321-7741
(202) 291-7071
Mailing address
4500 FORBES BLVD, LANHAM, MD 20706-6312
(202) 321-7741
(202) 291-7071
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104385000
—
MD
Enumeration date
12/13/2021
Last updated
01/19/2023
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