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Organization

BEYOND WELL WOMAN & ASSOCIATES, LLC

Active
Other names
Beyond Well Woman, Hydration Beyond H2O, Mas Alla Mujer
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SUSANA C BRADBURY MSN, WHNP-BC (NURSE PRACTITIONER)
(443) 624-5191
Entity
Organization

Contact information

Practice address
2551 SOLOMONS ISLAND RD, HUNTINGTOWN, MD 20639-8734
(434) 968-2315
Mailing address
2551 SOLOMONS ISLAND RD, HUNTINGTOWN, MD 20639-8734
(443) 968-2315

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
W20918868
STATE OF MARYLAND ARTICLE OF ORGANIZATION
MD
Enumeration date
09/23/2020
Last updated
11/11/2023
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