OrganizationActive
Advanced Practice Wellness, LLC
NPI 1841845351 · Pediatric Nurse Practitioner · Gaithersburg, MD
Provider details
- NPI number
- 1841845351
- Entity type
- Organization
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Mercedes Thomas, Ceo(404) 635-6175
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
Washingtonian Blvd Ste 550
Gaithersburg, MD 20878
Phone: (240) 230-7170
Approximate (ZIP-level) locationGet directions
Mailing address
111 Washington Grove Ln Unit 221
Washington Grove, MD 20880-7508
Registry dates
- Enumerated
- 2019-08-02
- Last updated
- 2020-12-30
- Certified
- 2020-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.