Organization
REVERED-HOLISTIC HEALTHCARE LLC
Active
Other names
REVERED HOLISTIC HEALTHCARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ADETUTU AWODIPE FNP (OWNER)
(443) 621-2203
Entity
Organization
Contact information
Practice address
9861 BROKEN LAND PKWY STE 100, COLUMBIA, MD 21046-3031
(443) 621-2203
(410) 381-0216
Mailing address
4218 SUMMER SHADE WAY, OWINGS MILLS, MD 21117-4872
(443) 621-2203
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R194691
MD
Other
Enumeration date
05/24/2018
Last updated
09/11/2025
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