Organization · Type 2 NPI

Shepherdhealthcare System,llc

Family Nurse Practitioner · Laurel, MD

NPI number 1629823646 Active

Practice location

312 Marshall Ave Ste 1010
Laurel, MD 20707-4861

Call (410) 934-4813 Map

Fax (410) 934-4815

Mailing address

15320 Old Frederick Rd
Woodbine, MD 21797-8748

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

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NPI record

NPI: 1629823646
Entity type: Organization (Type 2)
Issued: Apr 22, 2024
Last updated: May 17, 2024
Status: Active

Other names

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Shepherdcare Wellness Clinic · doing business as
Shepherdcare Wellness Clinic · doing business as

Authorized official

Dr. Foluke O Ajuwon, DNP/CRNP
Provider
(240) 938-4333

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About NPI 1629823646

Shepherdhealthcare System,llc's National Provider Identifier is 1629823646, issued on Apr 22, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Laurel, MD. The record was last updated on May 17, 2024.