OrganizationActive
Advanced Functional Health and Wellness, LLC.
NPI 1366031973 · Family Nurse Practitioner · Frederick, MD
Provider details
- NPI number
- 1366031973
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Louis Gbone, Manager(301) 966-2558
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Practice location
1003 W 7th St Ste B
Frederick, MD 21701-4153
Phone: (301) 966-2558
Approximate (ZIP-level) locationGet directions
Mailing address
1003 W 7th St Ste B
Frederick, MD 21701-4153
Registry dates
- Enumerated
- 2021-01-18
- Last updated
- 2023-01-24
- Certified
- 2023-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.