| Nirvana Holistic Medicine | |
|
6201 Greenbelt Rd Ste U7 Berwyn Heights MD 20740-2361 | |
| (301) 798-7687 | |
| (800) 297-9152 |
| Full Name | Nirvana Holistic Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 6201 Greenbelt Rd Ste U7, Berwyn Heights, Maryland |
| Authorized Official Name and Position | Shaundel Knights (OWNER) |
| Authorized Official Contact | 3017987687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nirvana Holistic Medicine 6201 Greenbelt Rd Ste U7 Berwyn Heights MD 20740-2361 Ph: (301) 798-7687 | Nirvana Holistic Medicine 6201 Greenbelt Rd Ste U7 Berwyn Heights MD 20740-2361 Ph: (301) 798-7687 |
| NPI Number | 1831900141 |
|---|---|
| Provider Enumeration Date | 01/16/2025 |
| Last Update Date | 07/28/2025 |
| Certification Date | 07/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831900141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Secondary |
| 163W00000X | Registered Nurse | (NU) | Secondary |
| 175F00000X | Naturopath | (NU) | Secondary |
| 207Q00000X | Family Medicine | (NU) | Primary |
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