Advanced Functional Health and Wellness, LLC.
Organization Active NPI Family Nurse Practitioner · Frederick, MD
NPI 1366031973 · NPPES record last updated Jan 24, 2023
Key facts
- NPI
- 1366031973
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- ADVANCED FUNCTIONAL HEALTH AND WELLNESS, LLC.
- Practice address
- 1003 W 7TH St Ste B
Frederick, MD 21701-4153 - Phone
- (301) 966-2558
- NPI assigned
- Jan 18, 2021
- Organization subpart
- No
Authorized official
- Name
- Louis Gbone
- Title
- Manager
- Phone
- (301) 966-2558
National Provider Directory
Locations
1003 W 7th St
Ste B
Frederick, MD 21701
Phone (301) 966-2558
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | |||
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
1003 W 7TH St Ste B
Frederick, MD 21701-4153
Mailing address
1003 W 7TH St Ste B
Frederick, MD 21701-4153
Phone (301) 966-2558
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All providers in Frederick, MD · Family Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.