MEDICARE: CARING INTEGRATIVE HEALTHCARE NUTRITION AND WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1043005317
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING INTEGRATIVE HEALTHCARE NUTRITION AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	14301 GRANERY LN
Second Line	:
City	:	ACCOKEEK
State	:	MD
Zip	:	20607-3755
Country	:	US
Telephone Number	:	630-453-1004
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 POST OFFICE RD STE 101
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20602-2738
Country	:	US
Telephone Number	:	630-453-1004
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	CARMEN LATRICE MURRAY
Credential	:	DNP
Telephone Number	:	630-453-1004

Provider Enumeration Date	:	04/09/2025
Last Update Date	:	08/21/2025

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