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Revered-holistic Healthcare Llc
Family Nurse Practitioner in Towson, Maryland
NPI 1700377876

Revered-holistic Healthcare Llc is a Family Nurse Practitioner based in Owings Mills, MD and is specialized in Family. Revered-holistic Healthcare Llc practices in Towson, MD. The NPI Number for Revered-holistic Healthcare Llc is 1700377876 and holds a License No. R194691 (Maryland).

The current practice location address for Revered-holistic Healthcare Llc is 1045 Taylor Ave Ste 44A, Towson, MD and can be reached out via phone at 443-621-2203 and via fax at 410-381-0216.

Location: 1045 Taylor Ave Ste 44A, Towson, MD, 21117-6156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700377876
Provider Name
Revered-holistic Healthcare Llc
Credential
Provider Entity Type
Organization
Address
1045 Taylor Ave Ste 44A, Towson, MD, 21117-6156
Phone Number
443-621-2203
Fax Number
410-381-0216
Provider Enumeration Date
05/24/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1045 Taylor Ave Ste 44A
City
Towson
State
Maryland
Zip
21286-8328
Phone Number
443-621-2203
Fax Number
410-381-0216
person
Provider Business Mailing Address Details
Address
1045 Taylor Ave Ste 44A
City
Towson
State
Maryland
Zip
21286-8328
Phone Number
443-621-2203
Fax Number
410-381-0216
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R194691 (Maryland)
Definition
Definition to come...
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