New Era Wellness

LBN: New Era Wellness, Llc
New Era Wellness is an health care organization with primary practice located at 715 Ingleside Ave , Catonsville MD 21228-1726. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. New Era Wellness, Llc can be contacted via phone (410) 236-4969, or through Agen-Davis, Myrtis Marvell-Mccain via phone (410) 775-6394.

Contact Information

Primary practice address
715 Ingleside Ave Catonsville MD 21228-1726
Phone: (410) 236-4969
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Agen-Davis, Myrtis Marvell-Mccain CRNP-BC
Phone: (410) 775-6394

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R157786 Maryland

Profile Details

NPI number 1528419561
LBN Legal business name New Era Wellness, Llc
DBA Doing business as New Era Wellness
Authorized official Agen-Davis, Myrtis Marvell-Mccain CRNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2016
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528419561 NPPES
Maryland MEDICAID 056072300

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