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NPI Code Detail

MEDICARE: NMS WELLNESS LLC

MEDICARE: NMS 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
1208100000XPhysical Medicine & Rehabilitation Physician
2225100000XPhysical Therapist
3225500000XRespiratory/Developmental/Rehabilitative Specialist/Technologist
4225X00000XOccupational Therapist
5363L00000XNurse Practitioner
6207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1124457049
Entity Type Code : Organization
Provider Name (Legal Business Name) : NMS WELLNESS LLC
Provider Business Mailing Address
First Line : 4922 LASALLE RD
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20782-3302
Country : US
Telephone Number : 301-864-2333
Fax Number :
Provider Business Practice Location Address
First Line : 900 VAN BUREN ST
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21403-2124
Country : US
Telephone Number : 410-267-8653
Fax Number :
Authorized Official
Title or Position : GENERAL COUNSEL
Name : MR. MARK YOST JR.
Credential : ESQ.
Telephone Number : 301-864-2333
Provider Enumeration Date : 11/02/2013
Last Update Date : 11/02/2013

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Directions to “NMS WELLNESS LLC ” Practice Location

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