Organization
ADVANCED TELE CLINIC
Active
Other names
Advanced Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BANIS GITHINJI DNP (DNP)
(240) 930-7466
Entity
Organization
Contact information
Practice address
6301 IVY LN STE 414, GREENBELT, MD 20770-6357
(240) 930-7466
(240) 692-0126
Mailing address
6301 IVY LN STE 414, GREENBELT, MD 20770-6357
(240) 930-7466
(240) 692-0126
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
08/11/2025
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