Organization
EDGEWELLNESS LLC &NURSING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GODWIN N NWOHA ACCOUNTANT (CHIEF EXECUTIVE)
(443) 453-7412
Entity
Organization
Contact information
Practice address
7416 HARFORD RD, BALTIMORE, MD 21234-7152
(443) 794-1039
Mailing address
6 SECRETARIAT CT, OWINGS MILLS, MD 21117-6155
(443) 453-7412
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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