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Contact Information

ADVANCED FUNCTIONAL HEALTH AND WELLNESS, LLC.
1003 W 7TH ST STE B
FREDERICK, MD21701-4153
 Phone: 301-966-2558
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Health Service

261QH0100X
Indicates primary specialty

NPI Profile & details for ADVANCED FUNCTIONAL HEALTH AND WELLNESS, LLC.

NPI Number 1366031973
LBN Legal business name ADVANCED FUNCTIONAL HEALTH AND WELLNESS, LLC.
Authorized official LOUIS GBONE - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/18/2021
Last updated 01/24/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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