Healthways

NPI 1003108234 - Registered Nurse - 163W00000X

NPI Details
NPI 1003108234
Enumeration Date 05/05/2011
Last Updated 05/05/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name KIMBERLY KIMBERLY
Position OFFICE MANAGER
Phone (202) 744-3445
Fax
Practice Location
3209 CAPTAIN DEMENT DR
WALDORF MD, 20603-6044, US
Phone (202) 744-3445
Fax
Business Location
3209 CAPTAIN DEMENT DR
WALDORF MD, 20603-6044, US
Phone (202) 744-3445
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Maryland
License Number R165231
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According to our database, Healthways NPI is 1003108234, taxonomy code is 163W00000X and license number is R165231, license state is located at Maryland. Healthways physically located at 3209 Captain Dement Dr, Waldorf MD, 20603-6044. NPI Number 1033115704 has the healthcare provider type.

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1003108234 NPI number is provided on an as is basis without warranty of any kind. 1003108234 is maintained by the National Plan & Provider Enumeration System. The contents of Healthways are for informational purposes only.