OrganizationActive
Magnolia Health Care LLC
NPI 1225908445 · Wound Care Registered Nurse · Gambrills, MD
Provider details
- NPI number
- 1225908445
- Entity type
- Organization
- Primary specialty
- Wound Care Registered NurseNursing Service Providers
- Parent organization
- Magnolia Health Care LLC
- Organization subpart
- Yes
- Authorized official
- Shaquilla Vazquez Clark, Owner(301) 715-3010
Specialties & taxonomies
Nursing Service Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2407 Baneberry Ln
Gambrills, MD 21054-1992
Phone: (410) 793-2634
Street-level locationGet directions
Mailing address
12530 Fairwood Pkwy Ste 102
Bowie, MD 20720-6357
Registry dates
- Enumerated
- 2025-11-11
- Last updated
- 2026-01-02
- Certified
- 2026-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.