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NPI Code Detail

MEDICARE: LYNXSURE WELLNESS CENTER LLC

MEDICARE: LYNXSURE WELLNESS CENTER 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
1363LF0000XFamily Nurse Practitioner
2363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1609485929
Entity Type Code : Organization
Provider Name (Legal Business Name) : LYNXSURE WELLNESS CENTER LLC
Provider Business Mailing Address
First Line : 7323 HANOVER PKWY STE A
Second Line :
City : GREENBELT
State : MD
Zip : 20770-3617
Country : US
Telephone Number : 301-477-3676
Fax Number : 240-297-9855
Provider Business Practice Location Address
First Line : 7323 HANOVER PKWY STE A
Second Line :
City : GREENBELT
State : MD
Zip : 20770-3617
Country : US
Telephone Number : 301-477-3676
Fax Number : 240-297-9855
Authorized Official
Title or Position : NP
Name : OMEMIYERE SHEILA UWAYZOR
Credential : NP
Telephone Number : 443-985-4461
Provider Enumeration Date : 07/23/2020
Last Update Date : 12/10/2025

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Directions to “LYNXSURE WELLNESS CENTER LLC ” Practice Location

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