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
11974 EDGEHILL TERRACE RD, PRINCESS ANNE, MD 21853-2105
(301) 321-7741
(301) 291-7071
Mailing address
14300 GALLANT FOX LN STE 202, BOWIE, MD 20715-4033
(301) 321-7741
(301) 291-7071
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/19/2023
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