Organization · Type 2 NPI

New Wave In Home Medical Care

Family Nurse Practitioner · Centreville, MD

NPI number 1336824093 Active

Practice location

129 Banbridge Ave
Centreville, MD 21617-2346

Call (667) 358-0287 Map

Other practice locations

129 Banbridge Ave, Centreville, MD 21617-2346 · (667) 358-0287

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

Another provider at this address

Julie Christine Henne-Reese, C.R.N.PFamily Nurse Practitioner Centreville, MD NPI 1669473948

Other family nurse practitioner providers in Centreville

See all in Centreville →

NPI record

NPI: 1336824093
Entity type: Organization (Type 2)
Issued: Jun 20, 2023
Last updated: Sep 5, 2023
Status: Active

Other names

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New Wave In Home Medical Care · doing business as
New Wave In Home Medical Care · doing business as

Authorized official

Julie C Henne-Reese, CRNP
Family Nurse Practitioner
(667) 358-0287

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336824093

New Wave In Home Medical Care's National Provider Identifier is 1336824093, issued on Jun 20, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Centreville, MD. The record was last updated on Sep 5, 2023.