OrganizationActive
Advance Integrated Health, LLC
NPI 1952934671 · Multi-Specialty Clinic/Center · Bowie, MD
Provider details
- NPI number
- 1952934671
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Deborah Koroma, Nurse Practitioner(301) 978-1990
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Practice location
16204 Penterra Way
Bowie, MD 20716-1919
Phone: (301) 978-1990
Approximate (ZIP-level) locationGet directions
Mailing address
16204 Penterra Way
Bowie, MD 20716-1919
Registry dates
- Enumerated
- 2020-02-20
- Last updated
- 2020-02-20
- Certified
- 2020-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.