Restore Wound Care LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

RESTORE WOUND CARE LLC

Practice address

1245 Orchid Rd
Gambrills, MD 21054-1402

Phone

(202) 716-2978

NPI assigned

May 12, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nneka Bagwell

Title

MGR

Phone

(202) 716-2978

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1336077999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 ORCHID RD",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 ORCHID RD",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541402",
            "telephone_number": "202-716-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "BAGWELL",
        "authorized_official_first_name": "NNEKA",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "202-716-2978"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Gambrills, MD
• Providers in Gambrills, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.