Organization
NU PATHWAY HEALTHCARE AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN GARDNER (PRESIDENT & CEO)
(301) 928-4725
Entity
Organization
Contact information
Practice address
14300 GALLANT FOX LN STE 202, BOWIE, MD 20715-4033
(202) 932-8149
(301) 291-7071
Mailing address
14300 GALLANT FOX LN STE 202, BOWIE, MD 20715-4033
(202) 932-8149
(301) 291-7071
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317209100
—
MD
Enumeration date
02/23/2020
Last updated
02/10/2025
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