Look up the most recent NPI and PECOS records

Nu Pathway Healthcare And Wellness Llc

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

14300 Gallant Fox Ln Ste 202, Bowie, MD 20715-4033

PECOS Enrollment

Based on the most recent information from CMS, provider Nu Pathway Healthcare And Wellness Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1891329470
Provider Type
Organization
Full Name
Nu Pathway Healthcare And Wellness Llc

Subpart
No
Enumeration Date
2/23/2020
Last Updated
2/10/2025

Contact Information

Practice Location

14300 Gallant Fox Ln Ste 202, Bowie, MD 20715-4033

(202) 932-8149

(301) 291-7071

Mailing Location

14300 Gallant Fox Ln Ste 202, Bowie, MD 20715-4033

(202) 932-8149

(301) 291-7071

Authorized Official

Gardner, Owen (President & Ceo)

(301) 928-4725

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer
Code 261QR0400X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer
Code 310400000X	Description Assisted Living Facility Nursing & Custodial Care Facilities	License Unlisted Issuer
Code 314000000X	Description Skilled Nursing Facility Nursing & Custodial Care Facilities	License Unlisted Issuer
Code 363LA2200X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer
Code 363LG0600X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer
Code 363LP2300X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 317209100	Description Medicaid	Issuer Unlisted Maryland

Nu Pathway Healthcare And Wellness Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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