Organization · Type 2 NPI

Grassroots Healing

Family Nurse Practitioner · College Park, MD

NPI number 1902587124 Active

Practice location

10105 Baltimore Ave Apt 3401
College Park, MD 20740-4231

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

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About NPI 1902587124

Grassroots Healing's National Provider Identifier is 1902587124, issued on Jul 31, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in College Park, MD. The record was last updated on Jul 31, 2023.