| Hervolve Wellness LLC | |
|
7651 Matapeake Business Dr Ste 212 Brandywine MD 20613-3038 | |
| (301) 404-2245 | |
| Not Available |
| Full Name | Hervolve Wellness LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 7651 Matapeake Business Dr Ste 212, Brandywine, Maryland |
| Authorized Official Name and Position | Oluwatimilehin Ugbade (PROVIDER) |
| Authorized Official Contact | 3014042245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hervolve Wellness LLC 7651 Matapeake Business Dr Ste 212 Brandywine MD 20613-3038 Ph: (301) 404-2245 | Hervolve Wellness LLC 7651 Matapeake Business Dr Ste 212 Brandywine MD 20613-3038 Ph: (301) 404-2245 |
| NPI Number | 1619760899 |
|---|---|
| Provider Enumeration Date | 05/28/2025 |
| Last Update Date | 05/28/2025 |
| Certification Date | 05/28/2025 |
| Medicare PECOS PAC ID | 5193215796 |
|---|---|
| Medicare Enrollment ID | O20251103002786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619760899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Oluwatimilehin P Ugbade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033766969 PECOS PAC ID: 7416377296 Enrollment ID: I20201016000028 |
| Provider Name | Udoka Onukwugha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851935597 PECOS PAC ID: 2567879919 Enrollment ID: I20210331002161 |
| Provider Name | Oluwakemi L Adeola |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255961546 PECOS PAC ID: 2961827548 Enrollment ID: I20251103004136 |
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