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Blackwater Wellness, Llc
Psychiatric/Mental Health Nurse Practitioner in Cambridge, Maryland
NPI 1477253862

Blackwater Wellness, Llc is a Psychiatric/Mental Health Nurse Practitioner based in Crocheron, MD and is specialized in Psychiatric/Mental Health. Blackwater Wellness, Llc practices in Cambridge, MD. The NPI Number for Blackwater Wellness, Llc is 1477253862 and holds a License No. (Maryland).

The current practice location address for Blackwater Wellness, Llc is 7 Cedar St Ste 3, Cambridge, MD and can be reached out via phone at 443-521-6656.

Location: 7 Cedar St Ste 3, Cambridge, MD, 21627-1201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477253862
Provider Name
Blackwater Wellness, Llc
Credential
Provider Entity Type
Organization
Address
7 Cedar St Ste 3, Cambridge, MD, 21627-1201
Phone Number
443-521-6656
Fax Number
Provider Enumeration Date
03/06/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
7 Cedar St Ste 3
City
Cambridge
State
Maryland
Zip
21613-2381
Phone Number
443-521-6656
Fax Number
person
Provider Business Mailing Address Details
Address
7 Cedar St Ste 3
City
Cambridge
State
Maryland
Zip
21613-2381
Phone Number
443-521-6656
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
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Definition
Definition to come...
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