MOONGLADE INTEGRATIVE LLC

NPI # 

Practice Address:

3233B Chestnut Ridge Rd

Grantsville, MD, 21536-1370

Practice Phone:

240-321-2770

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Family

Taxonomy Code:

363LF0000X

Updated by NPPES on 2/12/2024. You can view the original data set for NPI # 1568245595 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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MOONGLADE INTEGRATIVE LLC's

CMS CPT® coding data

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MOONGLADE INTEGRATIVE LLC's

CMS prescription data

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