Organization
ADVANCED PRACTICE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERCEDES LYNN THOMAS CPNP (CEO)
(404) 635-6175
Entity
Organization
Contact information
Practice address
WASHINGTONIAN BLVD STE 550, GAITHERSBURG, MD 20878
(240) 230-7170
Mailing address
111 WASHINGTON GROVE LN UNIT 221, WASHINGTON GROVE, MD 20880-7508
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
12/30/2020
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