| Springforth Health And Wellness Center Llc | |
|
11400 Treton Ct Upper Marlboro MD 20774-1568 | |
| (301) 633-2515 | |
| Not Available |
| Full Name | Springforth Health And Wellness Center Llc |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 11400 Treton Ct, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Uche H Fabiku (NURSE PRACTITIONER/CEO) |
| Authorized Official Contact | 3016332515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springforth Health And Wellness Center Llc 11400 Treton Ct Upper Marlboro MD 20774-1568 Ph: (301) 633-2515 | Springforth Health And Wellness Center Llc 11400 Treton Ct Upper Marlboro MD 20774-1568 Ph: (301) 633-2515 |
| NPI Number | 1154911196 |
|---|---|
| Provider Enumeration Date | 01/23/2021 |
| Last Update Date | 02/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154911196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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