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Contact Information

MAGNOLIA HEALTH CARE LLC
2407 BANEBERRY LN
GAMBRILLS, MD21054-1992
 Phone: 410-793-2634
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Wound Care

163WW0000X
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MAGNOLIA HEALTH CARE LLC · (Female)

NPI Number 1225908445
Status Active
Credentials
Entity Individual
Enumeration date 11/11/2025
Last updated 01/02/2026 - About 5 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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