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Organization

AHANNA HEALTH AND WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMY L FUSILIER CRNP (OWNER/NP)
(240) 729-6250
Entity
Organization

Contact information

Practice address
173 SAINT PATRICKS DR STE 104, WALDORF, MD 20603-5530
(240) 729-6250
(949) 695-4106
Mailing address
173 SAINT PATRICKS DR STE 104, WALDORF, MD 20603-5530
(240) 729-6250
(929) 695-4106

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary

Other

Enumeration date
02/13/2024
Last updated
04/15/2024
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