Organization · Type 2 NPI
Headwaters Restoration Therapy LLC
Nurse Practitioner · Oakland, MD
Practice location
14689 Garrett Hwy Ste 3
Oakland, MD 21550-4059
Fax (240) 270-5229
Mailing address
14689 Garrett Hwy
Oakland, MD 21550-4059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
3 other providers at this address
Other nurse practitioner providers in Oakland
About NPI 1154197283
Headwaters Restoration Therapy LLC's National Provider Identifier is 1154197283, issued on Nov 29, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Oakland, MD. The record was last updated on Jan 12, 2026.