institution
Moonglade Integrative Llc
Family Nurse Practitioner in Grantsville, Maryland
NPI 1568245595

Moonglade Integrative Llc is a Family Nurse Practitioner based in Addison, MD and is specialized in Family. Moonglade Integrative Llc practices in Grantsville, MD. The NPI Number for Moonglade Integrative Llc is 1568245595 and holds a License No. (Maryland).

The current practice location address for Moonglade Integrative Llc is 3233B Chestnut Ridge Rd, Grantsville, MD and can be reached out via phone at 240-321-2770. You can also correspond with Moonglade Integrative Llc through the mailing address at 300 STIFF RD, ADDISON, PA - 15411-2057 (mailing address contact number: 240-321-2770).

Location: 3233B Chestnut Ridge Rd, Grantsville, MD, 15411-2057
institution
Provider Profile Details
NPI Number
1568245595
Provider Name
Moonglade Integrative Llc
Credential
Provider Entity Type
Organization
Address
3233B Chestnut Ridge Rd, Grantsville, MD, 15411-2057
Phone Number
240-321-2770
Fax Number
Provider Enumeration Date
08/15/2023
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3233B Chestnut Ridge Rd
City
State
Zip
21536-1370
Phone Number
240-321-2770
Fax Number
person
Provider Business Mailing Address Details
Address
300 Stiff Rd
City
State
Zip
15411-2057
Phone Number
240-321-2770
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
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