Organization · Type 2 NPI
Advanced Functional Health and Wellness, Llc.
Family Nurse Practitioner · Frederick, MD
NPI number
1366031973
Active
Practice location
1003 W 7th St Ste B
Frederick, MD 21701-4153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center | 261QH0100X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1366031973
Advanced Functional Health and Wellness, Llc.'s National Provider Identifier is 1366031973, issued on Jan 18, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Frederick, MD. The record was last updated on Jan 24, 2023.