NPI 1003108234

Healthways

Organisation Registered Nurse Waldorf, MD

Practice location

Address: 3209 Captain Dement Dr, Waldorf, MD 20603-6044
Phone: (202) 744-3445

Authorised official

Name: Kimberly Peacock
Title: Office Manager
Phone: (202) 744-3445

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence R165231 (MD)

Other Registered Nurse providers in Maryland →

Registry record

NPI: 1003108234
Entity type: Organization
NPI issued: 5 May 2011
Record last updated: 5 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.