Organization · Type 2 NPI
Miracle Healthcare and Wellness Center LLC
Primary Care Nurse Practitioner · Waldorf, MD
NPI number
1336052869
Active
Practice location
2408 Plenty Gates Ln # A
Waldorf, MD 20601-5602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1336052869
Miracle Healthcare and Wellness Center LLC's National Provider Identifier is 1336052869, issued on Sep 25, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Waldorf, MD. The record was last updated on Sep 25, 2026.