institution
Divine Health Medical And Spa Llc
Family Nurse Practitioner in Rockville, Maryland
NPI 1790428555

Divine Health Medical And Spa Llc is a Family Nurse Practitioner based in Silver Spring, MD and is specialized in Family. Divine Health Medical And Spa Llc practices in Rockville, MD. The NPI Number for Divine Health Medical And Spa Llc is 1790428555 and holds a License No. (Maryland).

The current practice location address for Divine Health Medical And Spa Llc is 11119 Rockville Pike Ste 320, Rockville, MD and can be reached out via phone at 240-669-6598 and via fax at 240-669-6079.

Location: 11119 Rockville Pike Ste 320, Rockville, MD, 20904-2017
institution
Provider Profile Details
NPI Number
1790428555
Provider Name
Divine Health Medical And Spa Llc
Credential
Provider Entity Type
Organization
Address
11119 Rockville Pike Ste 320, Rockville, MD, 20904-2017
Phone Number
240-669-6598
Fax Number
240-669-6079
Provider Enumeration Date
04/19/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
11119 Rockville Pike Ste 320
City
State
Zip
20852-3143
Phone Number
240-669-6598
Fax Number
240-669-6079
person
Provider Business Mailing Address Details
Address
11119 Rockville Pike Ste 320
City
State
Zip
20852-3143
Phone Number
240-669-6598
Fax Number
240-669-6079
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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