| Mountain View Wellness, Llc | |
|
117 W Main St Hancock MD 21750-1416 | |
| (240) 738-0953 | |
| (301) 238-7386 |
| Full Name | Mountain View Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 117 W Main St, Hancock, Maryland |
| Authorized Official Name and Position | Amanda Brooke Bauler (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 2407380954 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain View Wellness, Llc Po Box 122 Hancock MD 21750-0122 Ph: () - | Mountain View Wellness, Llc 117 W Main St Hancock MD 21750-1416 Ph: (240) 738-0953 |
| NPI Number | 1033996673 |
|---|---|
| Provider Enumeration Date | 09/08/2023 |
| Last Update Date | 11/08/2023 |
| Medicare PECOS PAC ID | 1456701648 |
|---|---|
| Medicare Enrollment ID | O20240101000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033996673 | NPI | - | NPPES |
| R229244 | Other | MD | CRNP |
| APRN97594 | Other | WV | APRN-CNP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Amanda Bauler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235335829 PECOS PAC ID: 2567510373 Enrollment ID: I20180110001991 |
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