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Organization

MAGNOLIA FAMILY HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FAITH ANN RODEHEAVER CRNP (OWNER)
(301) 759-3800
Entity
Organization

Contact information

Practice address
121 E 1ST AVE # AVW, OAKLAND, MD 21550-2728
(301) 759-3800
(301) 777-7455
Mailing address
121 E 1ST AVE, OAKLAND, MD 21550-2728
(301) 759-3800
(301) 777-7455

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
10/30/2020
Last updated
10/21/2025
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