Organization · Type 2 NPI
Magnolia Family Health LLC
Primary Care Nurse Practitioner · Oakland, MD
NPI number
1972103661
Active
Practice location
121 E 1st Ave # Avw
Oakland, MD 21550-2728
Fax (301) 777-7455
Mailing address
121 E 1st Ave
Oakland, MD 21550-2728
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1972103661
Magnolia Family Health LLC's National Provider Identifier is 1972103661, issued on Oct 30, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Oakland, MD. The record was last updated on Oct 21, 2025.