Organization · Type 2 NPI

Divinegrace Primary Urgent Care IV Hydration & Wellness Clinic LLC

Family Nurse Practitioner · Lanham, MD

NPI number 1780466771 Active

Practice location

9420 Annapolis Rd Ste 103
Lanham, MD 20706-3033

Call (240) 476-9409 Map

Fax (240) 436-0043

Mailing address

12912 Crossfield Dr
Beltsville, MD 20705-6334

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1780466771

Divinegrace Primary Urgent Care IV Hydration & Wellness Clinic LLC's National Provider Identifier is 1780466771, issued on Oct 16, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lanham, MD. The record was last updated on Jun 9, 2026.