Organization
FREE STATE HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA WARD CRNP (NURSE PRACTITIONER)
(440) 570-9428
Entity
Organization
Contact information
Practice address
43 COMMUNITY PL, CROWNSVILLE, MD 21032-2034
(440) 570-9428
Mailing address
100 MIDDLETOWN PKWY UNIT 202, MIDDLETOWN, MD 21769-7767
(240) 647-9049
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/08/2017
Last updated
03/16/2023
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