MEDICARE: MEDICAL EXCELLENCE WELLNESS AND HEALTHCARE

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1518891837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL EXCELLENCE WELLNESS AND HEALTHCARE

Provider Business Mailing Address
First Line	:	100 OWINGS CT STE 14
Second Line	:
City	:	REISTERSTOWN
State	:	MD
Zip	:	21136-6433
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 OWINGS CT STE 14
Second Line	:
City	:	REISTERSTOWN
State	:	MD
Zip	:	21136-6433
Country	:	US
Telephone Number	:	240-226-2095
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	EUGENIA THORNE
Credential	:
Telephone Number	:	240-226-2095

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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