| Nu Pathway Healthcare And Wellness Llc | |
|
14300 Gallant Fox Ln Ste 202 Bowie MD 20715-4033 | |
| (026) 328-1492 | |
| (301) 291-7071 |
| Full Name | Nu Pathway Healthcare And Wellness Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 14300 Gallant Fox Ln Ste 202, Bowie, Maryland |
| Authorized Official Name and Position | Owen Gardner (OWNER) |
| Authorized Official Contact | 3019284725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nu Pathway Healthcare And Wellness Llc 14300 Gallant Fox Ln Ste 202 Bowie MD 20715-4033 Ph: (202) 632-8149 | Nu Pathway Healthcare And Wellness Llc 14300 Gallant Fox Ln Ste 202 Bowie MD 20715-4033 Ph: (026) 328-1492 |
| NPI Number | 1821703976 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 07/10/2024 |
| Certification Date | 05/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821703976 | NPI | - | NPPES |
| 209968300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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