Magnolia Health Care LLC

NPI #1154139640 in Gambrills, Maryland

Provider Information

NPI Number
1154139640
Entity Type
Organization
Organization Name
Magnolia Health Care LLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Dec 30, 2024
Last Updated
Jan 2, 2026

Practice Location

Address
2407 BANEBERRY LN
ZIP Code
21054-1992
Phone
(301) 715-3010

Authorized Official

Name
DR. SHAQUILLA VAZQUEZ CLARK, DNP, MSN, CRNP, FNP-
Title
FAMILY NURSE PRACTITIONER
Phone
(301) 715-3010

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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